{
	"hospital_name": "St Francis Medical Center",
	"last_updated_on": "2024-12-19",
	"version": "2.0.0",
	"hospital_location": [
		"St Francis Medical Center"
	],
	"hospital_address": [
		"3630 East Imperial Highway Lynwood, CA 90262"
	],
	"license_information": {
		"license_number": "850737566",
		"state": "CA"
	},
	"affirmation": {
		"affirmation": "To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",
		"confirm_affirmation": true
	},
	"standard_charge_information": [
		{
			"description": "Vaccine administration",
			"code_information": [
				{
					"code": "0001A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 10,
					"maximum": 40,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 30,
							"standard_charge_percentage": 75.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 20,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 10,
							"standard_charge_percentage": 25.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 24.64,
							"standard_charge_percentage": 61.59,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 22.19,
							"standard_charge_percentage": 55.47,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 22,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION – SECOND DOSE",
			"code_information": [
				{
					"code": "0002A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 10,
					"maximum": 40,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 22,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 30,
							"standard_charge_percentage": 75.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 24.64,
							"standard_charge_percentage": 61.59,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 22.19,
							"standard_charge_percentage": 55.47,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 10,
							"standard_charge_percentage": 25.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 20,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION – THIRD DOSE",
			"code_information": [
				{
					"code": "0003A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 10,
					"maximum": 40,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 20,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 30,
							"standard_charge_percentage": 75.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 10,
							"standard_charge_percentage": 25.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 22,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 24.64,
							"standard_charge_percentage": 61.59,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 22.19,
							"standard_charge_percentage": 55.47,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC LIVER DIS 10 ASSAYS WNASH",
			"code_information": [
				{
					"code": "0003M",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2517,
					"discounted_cash": 654,
					"minimum": 503.4,
					"maximum": 2013.6,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 508.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 654.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2013.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 2013.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 655.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 1384.35,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 755.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 604.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1258.5,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 513.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION – BOOSTER DOSE",
			"code_information": [
				{
					"code": "0004A",
					"type": "HCPCS"
				}
			],
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					"setting": "outpatient",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Molina",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Alignment",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 55.47,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
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							"standard_charge_percentage": 25.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 61.59,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"standard_charge_percentage": 75.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
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			"description": "HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC",
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				{
					"code": "001",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 541633,
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 270214,
							"methodology": "case rate"
						},
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 365318,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 326026,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 304431,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 304431,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 304431,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 310520,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 304431,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 304431,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 410982,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 304431,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 304431,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 534091,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 304431,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 304431,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LIVER TRANSPLANT &OR INTESTINAL TRANSPLANT ",
			"code_information": [
				{
					"code": "0011",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 54809.3,
					"maximum": 71252.1,
					"payers_information": [
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							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 55631.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 57549.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 60290.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 60290.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 71252.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC MODERNA COVID-19 VACCINE ADMINISTRATION – FIRST DOSE",
			"code_information": [
				{
					"code": "0011A",
					"type": "HCPCS"
				}
			],
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					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 40,
					"payers_information": [
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							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
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							"standard_charge_percentage": 61.59,
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
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							"payer_name": "UHC",
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							"standard_charge_percentage": 55.47,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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			"description": "LIVER TRANSPLANT &OR INTESTINAL TRANSPLANT ",
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				{
					"code": "0012",
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					"setting": "inpatient",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
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							"payer_name": "Molina",
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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			"description": "HC MODERNA COVID-19 VACCINE ADMINISTRATION – SECOND DOSE",
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					"code": "0012A",
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					"setting": "outpatient",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Keenan",
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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			"description": "LIVER TRANSPLANT &OR INTESTINAL TRANSPLANT ",
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					"code": "0013",
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					"setting": "inpatient",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Molina",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
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							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Traditional Medi-Cal",
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			]
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			"description": "Vaccine administration",
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				{
					"code": "0013A",
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					"setting": "outpatient",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
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							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "UHC",
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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			]
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			"description": "LIVER TRANSPLANT &OR INTESTINAL TRANSPLANT ",
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					"code": "0014",
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					"setting": "inpatient",
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							"methodology": "case rate"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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					]
				}
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		{
			"description": "HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC",
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					"code": "002",
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					"setting": "inpatient",
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					"maximum": 212412,
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						{
							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "Non-Contracted Medicare",
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						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 194147,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 155318,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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			"description": "HEART &OR LUNG TRANSPLANT ",
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					"code": "0021",
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							"payer_name": "AIDS Healthcare Foundation",
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			"description": "HC ASTRAZENECA COVID-19 VACCINE ADMINISTRATION – FIRST DOSE",
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							"payer_name": "Avanti Hospitals, LLC",
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			"description": "HC ASTRAZENECA COVID-19 VACCINE ADMINISTRATION – SECOND DOSE",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Molina",
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			"description": "HEART &OR LUNG TRANSPLANT ",
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					"setting": "inpatient",
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					"maximum": 268303,
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Molina",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Alignment",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "LA Care Health Plan",
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					"code": "0031A",
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							"payer_name": "Blue Shield of CA",
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					]
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			]
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			"description": "HC JOHNSON&JOHNSON COVID-19 VACCINE ADMINISTRATION - BOOSTER DOSE",
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				{
					"code": "0034A",
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			"description": "TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Imperial Health Plan Of CA",
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							"payer_name": "Alignment",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "WellCare",
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							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 153021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 153021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 153021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 255017,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 154552,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 267916,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 153021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
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				{
					"code": "0041",
					"type": "APR-DRG"
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			],
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				{
					"setting": "inpatient",
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					"maximum": 54647.8,
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							"methodology": "case rate"
						},
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						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 42667.3,
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						}
					]
				}
			]
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			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
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				{
					"code": "0042",
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				{
					"setting": "inpatient",
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					"maximum": 75501.7,
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						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 58949.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 63886,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 63886,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
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					]
				}
			]
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			"description": "HC CERBRAL PERFUSION STUDY, CT W CONTRAST",
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				{
					"code": "0042T",
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				{
					"setting": "outpatient",
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						{
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $3500",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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					]
				}
			]
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			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
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				{
					"code": "0043",
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				{
					"setting": "inpatient",
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						{
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						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 115968,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 89206.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 90544.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 98126.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 98126.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 89206.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Kaiser Hospital Foundation",
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					]
				}
			]
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		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
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				{
					"code": "0044",
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					"setting": "inpatient",
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						{
							"payer_name": "LA Care Health Plan",
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						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 148466,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 136994,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 148466,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 141718,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT",
			"code_information": [
				{
					"code": "005",
					"type": "TRIS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 150125,
					"minimum": 115481,
					"maximum": 204772,
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							"payer_name": "Tricare",
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							"standard_charge_dollar": 129437,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 115481,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 115481,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 116636,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 115481,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 181718,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 115481,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 117791,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
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			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
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			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
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			"description": "HC MODERNA COVID-19 VACCINE ADMINISTRATION – BOOSTER DOSE",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY",
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				{
					"code": "0084",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 84314.5,
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						},
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						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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						},
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
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				{
					"code": "0091",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 44900.8,
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
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						},
						{
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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						},
						{
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						}
					]
				}
			]
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		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
			"code_information": [
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					"code": "0092",
					"type": "APR-DRG"
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					"setting": "inpatient",
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					"maximum": 47265,
					"payers_information": [
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						{
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						},
						{
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						{
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							"methodology": "case rate"
						},
						{
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						{
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					]
				}
			]
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		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
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							"methodology": "case rate"
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						},
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						}
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				}
			]
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		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
			"code_information": [
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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						},
						{
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							"methodology": "case rate"
						},
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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						},
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
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					"code": "010",
					"type": "MS-DRG"
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"plan_name": "Brand New Day Commercial ",
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							"methodology": "case rate"
						},
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						},
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							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
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						}
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			]
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			"description": "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",
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				{
					"code": "011",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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				}
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					"type": "APR-DRG"
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							"methodology": "case rate"
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						{
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						},
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Heritage Provider Network",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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					]
				}
			]
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		{
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				{
					"code": "0114",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
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							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Traditional Medi-Cal",
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						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",
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					"code": "012",
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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						{
							"payer_name": "Astiva Health Inc",
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						},
						{
							"payer_name": "Altamed",
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							"methodology": "case rate"
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						{
							"payer_name": "Scan Health Plan",
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "case rate"
						},
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						{
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						},
						{
							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 44882.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC",
			"code_information": [
				{
					"code": "013",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 37964,
					"minimum": 29203.8,
					"maximum": 50955.4,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 29203.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 29495.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 29203.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 29203.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 29203.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 39425.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 29203.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 29203.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 46591.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 29203.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 50245.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 29203.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 29203.8,
							"estimated_amount": 999999999,
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							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "case rate"
						},
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							"payer_name": "Altamed",
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						}
					]
				}
			]
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			"description": "ALLOGENEIC BONE MARROW TRANSPLANT",
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				{
					"code": "014",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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						},
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC",
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				{
					"code": "016",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 85439,
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					"maximum": 116061,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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						},
						{
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						},
						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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						},
						{
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						},
						{
							"payer_name": "LA Care Health Plan",
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						},
						{
							"payer_name": "Astiva Health Inc",
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						},
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 106799,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 85439.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 107159,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC",
			"code_information": [
				{
					"code": "017",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 85439,
					"minimum": 65722.4,
					"maximum": 116061,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 78866.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 69860.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 107159,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 102996,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 85439.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 66379.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 65722.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 106799,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 79439.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES",
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				{
					"code": "018",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 529585,
					"minimum": 344757,
					"maximum": 725159,
					"payers_information": [
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 715061,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 436496,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 488848,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 344757,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 411447,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 643525,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 529586,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 549954,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 725159,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 661982,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 639150,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 415521,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 407374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS",
			"code_information": [
				{
					"code": "019",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 111958,
					"minimum": 86122.1,
					"maximum": 152430,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 86983.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 87844.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 139948,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 91751.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 150306,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 102800,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 116265,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 152430,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 86122.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 135269,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 138672,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 103347,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 111959,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BRACHIAL PLEXUS BLOCK",
			"code_information": [
				{
					"code": "01967",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1113.12,
					"minimum": 333.94,
					"maximum": 890.5,
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 890.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 556.56,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 612.22,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 890.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 333.94,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 890.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC",
			"code_information": [
				{
					"code": "020",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 113834,
					"minimum": 87565.2,
					"maximum": 155003,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 88440.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 45594,
							"methodology": "case rate"
						},
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
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							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 134312,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 152843,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 137552,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 142293,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 105078,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 118213,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 155003,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 146633,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 89316.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 113835,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 93300.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 87565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY FOR TRAUMA",
			"code_information": [
				{
					"code": "0201",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18087.3,
					"maximum": 23513.4,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 19896,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 18991.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 23513.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 18358.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19896,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY FOR TRAUMA",
			"code_information": [
				{
					"code": "0202",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21183,
					"maximum": 27538,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 21500.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 27538,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 23301.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 22242.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 23301.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC NFCT DS BCTVIR RESPIR DNARNA 22 TRGT SARSCOV2",
			"code_information": [
				{
					"code": "0202U",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 296.31,
					"discounted_cash": 541,
					"minimum": 88.89,
					"maximum": 296.31,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 237.05,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 237.05,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 148.16,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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			"description": "OPEN CRANIOTOMY FOR TRAUMA",
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			]
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY EXCEPT TRAUMA",
			"code_information": [
				{
					"code": "0211",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
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						},
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							"payer_name": "Health Net Of CA",
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						},
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						},
						{
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						},
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						}
					]
				}
			]
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			"description": "OPEN CRANIOTOMY EXCEPT TRAUMA",
			"code_information": [
				{
					"code": "0212",
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				}
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						},
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						},
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					]
				}
			]
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			"description": "OPEN CRANIOTOMY EXCEPT TRAUMA",
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					"code": "0213",
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				}
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						},
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				}
			]
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					"code": "0214",
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				}
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						},
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						},
						{
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						},
						{
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						{
							"payer_name": "Health Net Of CA",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 125039,
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						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC",
			"code_information": [
				{
					"code": "022",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
						{
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						{
							"payer_name": "LA Care Health Plan",
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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						{
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						{
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						{
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							"methodology": "case rate"
						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"methodology": "case rate"
						},
						{
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "VENTRICULAR SHUNT PROCEDURES ",
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				{
					"code": "0221",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 15279.6,
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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						},
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						},
						{
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						},
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
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			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
				{
					"code": "0222",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 17633.5,
					"payers_information": [
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
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						},
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						},
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						},
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
		},
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			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
				{
					"code": "0223",
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				}
			],
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					"setting": "inpatient",
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					"payers_information": [
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							"methodology": "case rate"
						},
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						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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						},
						{
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						},
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						},
						{
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						},
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						},
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						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
				{
					"code": "0224",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 46002.9,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR",
			"code_information": [
				{
					"code": "023",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 80800,
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					"maximum": 109700,
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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						},
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						},
						{
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						},
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						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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						},
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						},
						{
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						},
						{
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						},
						{
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
							"payer_name": "Alignment",
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						},
						{
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						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 66031.9,
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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				{
					"code": "0232",
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				}
			]
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			"description": "HC TRANSLUM PERIPHERAL ATHERECTOMY RENAL ART",
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				{
					"code": "0234T",
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13882.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14020.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 12453,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 3500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17904.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 34334.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC TRANSLUM PERIPHERAL ATHERECTOMY VISCERAL ART EA",
			"code_information": [
				{
					"code": "0235T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 17656,
					"minimum": 3500,
					"maximum": 14124.8,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 5296.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 14124.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 14124.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 3500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 11125,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 9988,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 9710.8,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 14124.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC TRANSLUM PERIPHERAL ATHERECTOMY ABDOM AORTA",
			"code_information": [
				{
					"code": "0236T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 42918,
					"discounted_cash": 17868,
					"minimum": 3500,
					"maximum": 34334.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17367.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 12453,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 23604.9,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 34334.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14020.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13882.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 34334.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 11207,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12875.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 3500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 17868.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17904.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 34334.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC TRANSLUM PERIPHERL ATHERECTOMY BRACHIOCEPHAL EA",
			"code_information": [
				{
					"code": "0237T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 42918,
					"discounted_cash": 17868,
					"minimum": 3500,
					"maximum": 34334.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17904.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12875.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 34334.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 12453,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17367.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 17868.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 11207,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 23604.9,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 34334.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13882.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 34334.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 3500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14020.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC TRANSLUM PERIPHERAL ATHERECTOMY ILIAC ARTERY EA",
			"code_information": [
				{
					"code": "0238T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 65417,
					"discounted_cash": 28481,
					"minimum": 3500,
					"maximum": 52333.6,
					"payers_information": [
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 52333.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 28538.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 32863.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 28481.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 19625.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 12453,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 52333.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 22128,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 3500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 32863.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 26290.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 52333.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 11207,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 27682.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 22347.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC",
			"code_information": [
				{
					"code": "024",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 54113,
					"minimum": 41625.5,
					"maximum": 73100.9,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 42458,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 44001.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 73100.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 52828.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 42041.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 72082.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 42529,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 67641.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 56194.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 65728.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 64870.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 54113.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 49950.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 41625.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0241",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 9142.22,
					"maximum": 11884.9,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 10056.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 9599.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10056.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 9279.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN",
			"code_information": [
				{
					"code": "0241U",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 713.15,
					"discounted_cash": 185,
					"minimum": 142.63,
					"maximum": 570.52,
					"payers_information": [
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 185.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 570.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 213.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 171.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 180.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 156.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 185.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 213.94,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 156.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 144.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 570.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 356.57,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 392.23,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 149.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 145.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 156.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 171.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 185.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0242",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11358.2,
					"maximum": 14765.7,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11358.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 11926.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 11358.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12494,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11358.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11358.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 11358.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11358.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 11358.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 11528.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 11358.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 11358.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 14765.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 12494,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0243",
					"type": "APR-DRG"
				}
			],
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						},
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							"payer_name": "Health Net Of CA",
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						},
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						},
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						},
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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						},
						{
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						},
						{
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						},
						{
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
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						},
						{
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						},
						{
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						}
					]
				}
			]
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				{
					"code": "0244",
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				}
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						},
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						},
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						},
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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						},
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						},
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						},
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						},
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						},
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						}
					]
				}
			]
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				{
					"code": "025",
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				}
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						},
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						},
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						},
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						},
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						},
						{
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						},
						{
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						},
						{
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						},
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						},
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						},
						{
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						},
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						},
						{
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						},
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						},
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						},
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						},
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
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						},
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "026",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
						{
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						},
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 52191.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 33946.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 43694,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 33610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER NERVOUS SYSTEM & RELATED PROCEDURES ",
			"code_information": [
				{
					"code": "0261",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10915.8,
					"maximum": 14190.6,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 12007.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 14190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 11079.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12007.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 11461.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER NERVOUS SYSTEM & RELATED PROCEDURES ",
			"code_information": [
				{
					"code": "0262",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13537.2,
					"maximum": 17598.3,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 14214,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14890.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 14890.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17598.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 13740.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER NERVOUS SYSTEM & RELATED PROCEDURES ",
			"code_information": [
				{
					"code": "0263",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20824.7,
					"maximum": 27072.2,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 22907.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 21866,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 22907.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 21137.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 27072.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER NERVOUS SYSTEM & RELATED PROCEDURES ",
			"code_information": [
				{
					"code": "0264",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 36478.8,
					"maximum": 47422.4,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 37026,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 38302.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 40126.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 40126.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 47422.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "027",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 35410,
					"minimum": 27238.7,
					"maximum": 47452,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 42109.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 31403.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 27783.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 44262.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 32686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 35410.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 28562.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 42206.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 27511.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 47452,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 27238.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
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							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0271",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 14862.4,
					"maximum": 19321.1,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0272",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 16554.9,
					"maximum": 21521.4,
					"payers_information": [
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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						},
						{
							"payer_name": "Heritage Provider Network",
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						},
						{
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"methodology": "case rate"
						},
						{
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						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0273",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 25927.3,
					"maximum": 33705.5,
					"payers_information": [
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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						}
					]
				}
			]
		},
		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0274",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 44581.1,
					"maximum": 57955.4,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 42971,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 44581.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 49039.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 44581.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 44581.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "028",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 86050,
					"minimum": 49385.4,
					"maximum": 116899,
					"payers_information": [
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							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 67516.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 115272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 49385.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 107563,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 66192.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 66854.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS",
			"code_information": [
				{
					"code": "029",
					"type": "TRIS-DRG"
				}
			],
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 59842.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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						{
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						{
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						},
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						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
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					"code": "0291",
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				}
			],
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						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 19145.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
				{
					"code": "0292",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"payers_information": [
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							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 20678.4,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 21663.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21663.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
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					"code": "0293",
					"type": "APR-DRG"
				}
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 28577.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 24181,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 24181,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 22312.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
				{
					"code": "0294",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34720.2,
					"maximum": 45136.3,
					"payers_information": [
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							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 35241,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 38192.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 38192.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 36456.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "030",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 32011,
					"minimum": 22600.8,
					"maximum": 42791,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 25756.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 22600.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 24870.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 37973,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 33242.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 42194.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 42791,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 40014.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 29549.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 25116.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 32011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 40230.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 24624.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0301",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16033.4,
					"maximum": 20843.5,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 16033.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 17636.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 16273.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 16033.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 16835.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17636.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16033.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16033.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 16033.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 16033.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 20843.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16033.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 16033.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16033.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0302",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21220.1,
					"maximum": 27586.1,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 22281.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 21220.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 23342.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 21220.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 21220.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 21220.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 21538.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 21220.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 21220.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 23342.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 21220.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 27586.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 21220.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 21220.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0303",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 28979.1,
					"maximum": 37672.8,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 29413.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 28979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 37672.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 28979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 28979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 31877,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0304",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
						{
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						},
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "VENTRICULAR SHUNT PROCEDURES WITH MCC",
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				{
					"code": "031",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 59565,
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					"maximum": 80578.8,
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						{
							"payer_name": "Avanti Hospitals, LLC",
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						},
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							"methodology": "case rate"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
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						},
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						},
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						},
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							"methodology": "case rate"
						},
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						},
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							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
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						},
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						{
							"payer_name": "Scan Health Plan",
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						},
						{
							"payer_name": "Non-Contracted Medicare",
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						},
						{
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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						{
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							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "032",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 30752,
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					"maximum": 41064.3,
					"payers_information": [
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							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "UHC Commercial All Payer ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 30752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 38440.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 23655.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 28386.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 31935.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 23655.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 23655.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 23892.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 41064.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 23655.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 37364.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 23655.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 24718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 23655.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 23655.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 23655.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 23655.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 23655.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "033",
					"type": "MS-DRG"
				}
			],
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				{
					"code": "036",
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				}
			],
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						},
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						},
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						},
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						},
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						},
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						},
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						}
					]
				}
			]
		},
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					"code": "037",
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				}
			],
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						},
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						},
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						},
						{
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
						{
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						},
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						},
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						{
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						},
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						{
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						}
					]
				}
			]
		},
		{
			"description": "EXTRACRANIAL PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "038",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 30982.8,
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
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						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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					"code": "039",
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						},
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						},
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						},
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						},
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						}
					]
				}
			]
		},
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				}
			],
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						},
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						},
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						},
						{
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						{
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						},
						{
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						},
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
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		{
			"description": "SPINAL DISORDERS & INJURIES ",
			"code_information": [
				{
					"code": "0401",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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			"description": "SPINAL DISORDERS & INJURIES ",
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					"code": "0402",
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				}
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			"description": "SPINAL DISORDERS & INJURIES ",
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					"code": "0403",
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						},
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						},
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						}
					]
				}
			]
		},
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					"code": "041",
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			],
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							"methodology": "case rate"
						},
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						},
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						},
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						{
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						{
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 24978.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 24978.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM MALIGNANCY ",
			"code_information": [
				{
					"code": "0411",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 6626.96,
					"maximum": 8615.05,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
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			"description": "NERVOUS SYSTEM MALIGNANCY ",
			"code_information": [
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					"code": "0412",
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				}
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
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						},
						{
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						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
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			"description": "NERVOUS SYSTEM MALIGNANCY ",
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				{
					"code": "0413",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 11865.4,
					"payers_information": [
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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						},
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						},
						{
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						},
						{
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						},
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "NERVOUS SYSTEM MALIGNANCY ",
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				{
					"code": "0414",
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				}
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					"setting": "inpatient",
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					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "042",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 25452,
					"minimum": 19514.3,
					"maximum": 33795.9,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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						},
						{
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"methodology": "case rate"
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							"payer_name": "Coventry Healthcare WC, INC.",
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						},
						{
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							"methodology": "case rate"
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						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 19578.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 19578.8,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 19578.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 19578.8,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 20343.1,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 19578.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 29991.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 19578.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 19578.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 19578.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 19578.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS ",
			"code_information": [
				{
					"code": "0421",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 5734.16,
					"maximum": 7454.41,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 5734.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 5734.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS ",
			"code_information": [
				{
					"code": "0422",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7303.57,
					"maximum": 9494.64,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9494.64,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 8033.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 7303.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS ",
			"code_information": [
				{
					"code": "0423",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9938.94,
					"maximum": 12920.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 10088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 10435.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS ",
			"code_information": [
				{
					"code": "0424",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 18019.2,
					"maximum": 23425,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 18019.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 19821.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
			"code_information": [
				{
					"code": "0431",
					"type": "APR-DRG"
				}
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					"maximum": 9285.15,
					"payers_information": [
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							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 7142.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 7142.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7856.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 7499.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7142.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 7142.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 7249.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
			"code_information": [
				{
					"code": "0432",
					"type": "APR-DRG"
				}
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			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 9565.6,
					"maximum": 12435.3,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9565.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 9565.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 10522.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 9565.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 9709.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 12435.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9565.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 10043.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 9565.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9565.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10522.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 9565.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9565.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
			"code_information": [
				{
					"code": "0433",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 14159.7,
					"maximum": 18407.7,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15575.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 15575.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 14159.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 14159.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 18407.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 14867.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
			"code_information": [
				{
					"code": "0434",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 27576.8,
					"maximum": 35849.8,
					"payers_information": [
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 27576.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30334.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 27576.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 27576.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 27576.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 27576.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 35849.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 27576.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 28955.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 27576.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 27990.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 27576.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 30334.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "0441",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6438.79,
					"maximum": 8370.43,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6760.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6438.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 7082.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6438.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 6438.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7082.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 6535.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "0442",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8957.05,
					"maximum": 11644.2,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 9404.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9852.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 9091.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 9852.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 11644.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "0443",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11685.5,
					"maximum": 15191.2,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 12854.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 15191.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 11685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 11685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12854.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 11685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 12269.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 11860.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "0444",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13398,
					"maximum": 17417.5,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 13398,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 13398,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13398,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 14737.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17417.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13398,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13398,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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		{
			"description": "CVA & PRECEREBRAL OCCLUSION W INFARCT ",
			"code_information": [
				{
					"code": "0451",
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							"methodology": "case rate"
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						{
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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					]
				}
			]
		},
		{
			"description": "CVA & PRECEREBRAL OCCLUSION W INFARCT ",
			"code_information": [
				{
					"code": "0452",
					"type": "APR-DRG"
				}
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				{
					"setting": "inpatient",
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					"maximum": 10898.6,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"estimated_amount": 8074,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CVA & PRECEREBRAL OCCLUSION W INFARCT ",
			"code_information": [
				{
					"code": "0453",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 14636.9,
					"payers_information": [
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CVA & PRECEREBRAL OCCLUSION W INFARCT ",
			"code_information": [
				{
					"code": "0454",
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				}
			],
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					"setting": "inpatient",
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					"maximum": 22475.1,
					"payers_information": [
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WO INFARCT ",
			"code_information": [
				{
					"code": "0461",
					"type": "APR-DRG"
				}
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6302.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WO INFARCT ",
			"code_information": [
				{
					"code": "0462",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 8920.82,
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6862.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
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			"description": "NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WO INFARCT ",
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					"code": "0463",
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				}
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
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						},
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							"payer_name": "Molina",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WO INFARCT ",
			"code_information": [
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					"code": "0464",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"payers_information": [
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							"methodology": "case rate"
						},
						{
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							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
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						}
					]
				}
			]
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			"description": "TRANSIENT ISCHEMIA ",
			"code_information": [
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					"code": "0471",
					"type": "APR-DRG"
				}
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					"maximum": 7397.16,
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						{
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						{
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						},
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						},
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "TRANSIENT ISCHEMIA ",
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					"code": "0472",
					"type": "APR-DRG"
				}
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					"payers_information": [
						{
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							"methodology": "case rate"
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						{
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							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
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				}
			]
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		{
			"description": "TRANSIENT ISCHEMIA ",
			"code_information": [
				{
					"code": "0473",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 10696.9,
					"payers_information": [
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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						{
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							"methodology": "case rate"
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						{
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						{
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRANSIENT ISCHEMIA ",
			"code_information": [
				{
					"code": "0474",
					"type": "APR-DRG"
				}
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					"maximum": 18142.2,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"methodology": "case rate"
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			"description": "PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS ",
			"code_information": [
				{
					"code": "0481",
					"type": "APR-DRG"
				}
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS ",
			"code_information": [
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					"code": "0482",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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					]
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			"description": "PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS ",
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				}
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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						},
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						{
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						},
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						}
					]
				}
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			"description": "PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS ",
			"code_information": [
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					"code": "0484",
					"type": "APR-DRG"
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							"methodology": "case rate"
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						{
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ",
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ",
			"code_information": [
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					"code": "0492",
					"type": "APR-DRG"
				}
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
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						},
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						},
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						},
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						},
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						},
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							"methodology": "case rate"
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						},
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						}
					]
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			]
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		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ",
			"code_information": [
				{
					"code": "0493",
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				}
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ",
			"code_information": [
				{
					"code": "0494",
					"type": "APR-DRG"
				}
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					"payers_information": [
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						},
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						},
						{
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						},
						{
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						},
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							"methodology": "case rate"
						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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						},
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						},
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						{
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						}
					]
				}
			]
		},
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			"description": "NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0501",
					"type": "APR-DRG"
				}
			],
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						},
						{
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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						},
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						},
						{
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0502",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 10924,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 9930.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 10924,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0503",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 15691.1,
					"maximum": 20398.4,
					"payers_information": [
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							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 20398.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17260.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 17260.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"standard_charge_dollar": 15926.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 16475.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0504",
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						},
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							"methodology": "case rate"
						},
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"methodology": "case rate"
						},
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						},
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							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ALTERATION IN CONSCIOUSNESS ",
			"code_information": [
				{
					"code": "0521",
					"type": "APR-DRG"
				}
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						},
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						},
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						},
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						}
					]
				}
			]
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			"description": "ALTERATION IN CONSCIOUSNESS ",
			"code_information": [
				{
					"code": "0522",
					"type": "APR-DRG"
				}
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						},
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						},
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						},
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						},
						{
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						},
						{
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						{
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						}
					]
				}
			]
		},
		{
			"description": "ALTERATION IN CONSCIOUSNESS ",
			"code_information": [
				{
					"code": "0523",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ALTERATION IN CONSCIOUSNESS ",
			"code_information": [
				{
					"code": "0524",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 21000.9,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 29604,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17770,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL DISORDERS AND INJURIES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "053",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13728,
					"minimum": 10560,
					"maximum": 17717.1,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10560,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 10664,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10665.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 10771.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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		{
			"description": "SEIZURE ",
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					"code": "0531",
					"type": "APR-DRG"
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			]
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			"description": "SEIZURE ",
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					"code": "0532",
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				}
			]
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					"code": "0533",
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					"code": "0534",
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						{
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					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM NEOPLASMS WITH MCC",
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					"code": "054",
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						}
					]
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			]
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			"description": "MIGRAINE & OTHER HEADACHES ",
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					"code": "0541",
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					]
				}
			]
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						},
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					]
				}
			]
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					]
				}
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						},
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						},
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						},
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						},
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						},
						{
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						},
						{
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						},
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						},
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM NEOPLASMS WITHOUT MCC",
			"code_information": [
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					"code": "055",
					"type": "MS-DRG"
				}
			],
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					"maximum": 20978.3,
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							"methodology": "case rate"
						},
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							"payer_name": "Coventry Healthcare WC, INC.",
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			"description": "HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE ",
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						},
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						},
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						},
						{
							"payer_name": "Health Net Of CA",
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						{
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					"code": "056",
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				}
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						{
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						},
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			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA ",
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				}
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			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA ",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"payer_name": "Avanti Hospitals, LLC",
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						},
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							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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				}
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			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC",
			"code_information": [
				{
					"code": "057",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 15314.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 25658.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 15164.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 23648.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 15014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 20269.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 22776.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 18017.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 24398.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0571",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 6095.99,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 4923.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 4759.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5158.14,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6095.99,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 5158.14,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0572",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 7084.37,
					"maximum": 9209.68,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 7438.59,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 7792.81,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9209.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 7190.64,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7792.81,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0573",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
					"minimum": 10355.3,
					"maximum": 13461.9,
					"payers_information": [
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							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13461.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 10873.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 10355.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10355.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 10355.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 10510.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 10355.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 11390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 10355.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 10355.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 10355.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 10355.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 10355.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0574",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16265.6,
					"maximum": 21145.3,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 21145.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 16265.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 16265.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
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			"description": "OTHER DISORDERS OF NERVOUS SYSTEM ",
			"code_information": [
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					"code": "0581",
					"type": "APR-DRG"
				}
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							"methodology": "case rate"
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					]
				}
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			"code_information": [
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					"code": "0582",
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							"methodology": "case rate"
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			"description": "OTHER DISORDERS OF NERVOUS SYSTEM ",
			"code_information": [
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					"code": "0583",
					"type": "APR-DRG"
				}
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					"payers_information": [
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							"methodology": "case rate"
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "OTHER DISORDERS OF NERVOUS SYSTEM ",
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					"code": "0584",
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				}
			]
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			"description": "MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC",
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				{
					"code": "059",
					"type": "MS-DRG"
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						},
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						},
						{
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						},
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							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "Scan Health Plan",
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						{
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						{
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							"payer_name": "AIDS Healthcare Foundation",
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						}
					]
				}
			]
		},
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			"description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE ",
			"code_information": [
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					"code": "0591",
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						},
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				}
			]
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					"code": "0592",
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						{
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						{
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						{
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				}
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					"code": "0593",
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						},
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						},
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						},
						{
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						{
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							"methodology": "case rate"
						},
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						},
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						},
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE ",
			"code_information": [
				{
					"code": "0594",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 19728.3,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Molina",
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						},
						{
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						},
						{
							"payer_name": "LA Care Health Plan",
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "LA Care Health Plan",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC",
			"code_information": [
				{
					"code": "060",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 13321,
					"minimum": 10247.2,
					"maximum": 17159.5,
					"payers_information": [
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							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 10349.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",
			"code_information": [
				{
					"code": "061",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 38713,
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					"maximum": 51982.2,
					"payers_information": [
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							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 29779.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 51258.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 31683,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 31618.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 38713.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 29779.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 35735.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 29779.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 48392.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 29779.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 51982.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 30077.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 40202.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 29779.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 29779.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 29779.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 29779.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 29779.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",
			"code_information": [
				{
					"code": "062",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 25779,
					"minimum": 19830.1,
					"maximum": 34244,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 19830.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 19830.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						}
					]
				}
			]
		},
		{
			"description": "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC",
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					"code": "063",
					"type": "MS-DRG"
				}
			],
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						},
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						},
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						},
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						},
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						},
						{
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						{
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC",
			"code_information": [
				{
					"code": "064",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 28699,
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					"maximum": 38249.3,
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							"estimated_amount": 15211,
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						},
						{
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						},
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						},
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						{
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 7722,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"standard_charge_dollar": 22076.8,
							"estimated_amount": 20006,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 22076.8,
							"estimated_amount": 21253,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 22518.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 35874.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 22076.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 22076.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 22076.8,
							"estimated_amount": 44977,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS",
			"code_information": [
				{
					"code": "065",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15067,
					"minimum": 11590,
					"maximum": 19553.4,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 12024,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11705.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 19284.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 19553.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 13962.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 17355.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 13908,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15067,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 11771.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 15239,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 18833.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11821.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17632.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 15646.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 12033,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 11590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "066",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10459,
					"minimum": 7967.07,
					"maximum": 13235,
					"payers_information": [
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13235,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8126.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11926.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 9655.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10459.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 11745.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 6476,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10711.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 8409,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 13074.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 10862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 7967.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8206.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 13051.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8045.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC",
			"code_information": [
				{
					"code": "067",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21208,
					"minimum": 9785.55,
					"maximum": 27975.5,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 16850.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 26510.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 16640.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 27604.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 21208.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 24843.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 27975.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 16314.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC",
			"code_information": [
				{
					"code": "068",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 13168,
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					"maximum": 16949.9,
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 12155.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10231,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 15044.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 16716.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13168.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 16460.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 10204.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 16949.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 13675,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 10332.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10129.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC",
			"code_information": [
				{
					"code": "069",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12027,
					"minimum": 9251.71,
					"maximum": 15384.7,
					"payers_information": [
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13855.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12027.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 8635,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 11102,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 12489.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 15173.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15384.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 15034,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 8635,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 15162,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9344.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10259.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9436.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 13655.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9251.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 9262.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC",
			"code_information": [
				{
					"code": "070",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 25188,
					"minimum": 19152.8,
					"maximum": 33434.4,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 33434.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 20125.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 1953,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 31044.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 19569.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 29670.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 19152.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 19763.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 31486.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 18890,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 23251.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 25188.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 32969.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 19376.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC",
			"code_information": [
				{
					"code": "071",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15585,
					"minimum": 11989.1,
					"maximum": 20264.9,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 16185.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 20264.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 14386.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 19482.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 12228.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 12079.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12109,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 18420.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 9636,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 228,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 12197.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 17983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 11989.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15585.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 19982.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "072",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11327,
					"minimum": 8682.41,
					"maximum": 14425.2,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8800.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 12800.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 8682.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 10456.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11327.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 14159.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8887.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 11763.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 14223.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13583.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 8713.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10164.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14425.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
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						},
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28271.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC",
			"code_information": [
				{
					"code": "074",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 15424,
					"minimum": 11118,
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					"payers_information": [
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 16795,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11865,
							"estimated_amount": 10264,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 12102.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 11118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17802.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 16017.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 17788.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11983.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 20043.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 14238,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11865,
							"estimated_amount": 9254,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 11865,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS WITH CCMCC",
			"code_information": [
				{
					"code": "075",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 24958,
					"minimum": 11200.2,
					"maximum": 33200.8,
					"payers_information": [
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							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 19391.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 25918.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11200.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 33119.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 31516.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 28363.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 19238.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 33200.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 23039,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 24958.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 19583.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 19199.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 31198.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "076",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 13664,
					"minimum": 6931.92,
					"maximum": 17630.6,
					"payers_information": [
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							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 14190.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 10613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 17386.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10616.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 15646.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 16003.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13664.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 10511.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSIVE ENCEPHALOPATHY WITH MCC",
			"code_information": [
				{
					"code": "077",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 22489,
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					"maximum": 29733,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 17460,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 17897.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 17299.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 17645.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 17299.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 17299.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 17299.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 17299.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 26211.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 17299.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 17299.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 29319,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 22489.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSIVE ENCEPHALOPATHY WITH CC",
			"code_information": [
				{
					"code": "078",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14800,
					"minimum": 9077.65,
					"maximum": 19188.1,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 18500.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 11498.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 11549.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11612.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 18920.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 13662.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 19188.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 15369.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17641.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 14800.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 17027.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9077.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 11385.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC",
			"code_information": [
				{
					"code": "079",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10156,
					"minimum": 7658.02,
					"maximum": 12851.5,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 7812.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 7812.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 10547.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7812.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10156.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 12696,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7812.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7812.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 12545.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
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						},
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						},
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					"code": "080",
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						},
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						}
					]
				}
			]
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				{
					"code": "081",
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				}
			],
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
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							"methodology": "case rate"
						},
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						},
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						},
						{
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						},
						{
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						{
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							"methodology": "case rate"
						},
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						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 12457.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10381,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC",
			"code_information": [
				{
					"code": "082",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					]
				}
			]
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			"description": "EYE INFECTIONS AND OTHER EYE DISORDERS ",
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					"code": "0821",
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				}
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					]
				}
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					"code": "0822",
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				}
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						},
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						{
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						}
					]
				}
			]
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			"description": "EYE INFECTIONS AND OTHER EYE DISORDERS ",
			"code_information": [
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					"code": "0823",
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				}
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				}
			]
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		{
			"description": "EYE INFECTIONS AND OTHER EYE DISORDERS ",
			"code_information": [
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					"code": "0824",
					"type": "APR-DRG"
				}
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						},
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						},
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						},
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						},
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							"methodology": "case rate"
						},
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						},
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						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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				{
					"code": "083",
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				}
			],
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					]
				}
			]
		},
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				{
					"code": "084",
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				}
			],
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						},
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
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						}
					]
				}
			]
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		{
			"description": "TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC",
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				{
					"code": "085",
					"type": "MS-DRG"
				}
			],
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						},
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						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 25062.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 25062.2,
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					"code": "086",
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					]
				}
			]
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				{
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				}
			],
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						},
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						},
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						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION WITH MCC",
			"code_information": [
				{
					"code": "088",
					"type": "TRIS-DRG"
				}
			],
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						{
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						},
						{
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						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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				{
					"code": "089",
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				}
			],
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					]
				}
			]
		},
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					"code": "0891",
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				}
			],
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				}
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				}
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
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					"code": "0893",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"plan_name": "LA Care Health Plan Medi-Cal",
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							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 33411,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"payer_name": "Anthem Blue Cross",
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						},
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0894",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 61642.9,
					"payers_information": [
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "090",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 12829,
					"minimum": 9868.65,
					"maximum": 16484.6,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9868.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Worker Comp",
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							"methodology": "case rate"
						},
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							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 16217,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 14628.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 9922.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 9868.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9868.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC",
			"code_information": [
				{
					"code": "091",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 26368,
					"minimum": 20283.1,
					"maximum": 35051.6,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 24339.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 27382.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 17555,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 21098.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 26368.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 20486,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 31106.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 31039.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 20688.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 20484.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 32960.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 34563.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 20283.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0911",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13167.8,
					"maximum": 17118.2,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0912",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19333.4,
					"maximum": 25133.4,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 19333.4,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 21266.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0913",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34859.3,
					"maximum": 45317.2,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 38345.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0914",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 55890.3,
					"maximum": 72657.3,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 58684.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 56728.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 72657.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 61479.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 61479.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM WITH CC",
			"code_information": [
				{
					"code": "092",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15653,
					"minimum": 12040.8,
					"maximum": 20357.2,
					"payers_information": [
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 12255.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 12281.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17800.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 14449,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 12325.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 16255.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12161.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15653.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 19566.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 12040.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0921",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11224.1,
					"maximum": 14591.3,
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0922",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14356.9,
					"maximum": 18664,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0923",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 22408.2,
					"maximum": 29130.6,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0924",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 40213.2,
					"maximum": 52277.1,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC",
			"code_information": [
				{
					"code": "093",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 11875,
					"minimum": 7713.97,
					"maximum": 15177,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 9226.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 14844.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 15177,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7713.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 14966.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9135.23,
							"estimated_amount": 999999999,
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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						},
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						},
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						},
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						},
						{
							"payer_name": "Health Net Of CA",
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						}
					]
				}
			]
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		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC",
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				{
					"code": "094",
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				}
			],
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					"setting": "inpatient",
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						},
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						},
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						},
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						},
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						},
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						},
						{
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						},
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						},
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						},
						{
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						},
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						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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						},
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Astiva Health Inc",
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						},
						{
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						},
						{
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						},
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						},
						{
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						},
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						},
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						},
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						},
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							"payer_name": "Alignment",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
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						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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						},
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						},
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						},
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						},
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						},
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						},
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						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC",
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				{
					"code": "095",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
						{
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						},
						{
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						},
						{
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						{
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
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						{
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						},
						{
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						},
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						},
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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						},
						{
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						},
						{
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						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 42058,
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0951",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
						{
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							"standard_charge_dollar": 7973.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 7248.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7248.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 7248.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 7610.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0952",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8136.32,
					"maximum": 10577.2,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 8949.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8949.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 8258.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10577.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0953",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11607.4,
					"maximum": 15089.7,
					"payers_information": [
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 12768.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 12187.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 15089.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 11781.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12768.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0954",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19316.4,
					"maximum": 25111.3,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 19606.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 25111.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21248,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 20282.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 21248,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC",
			"code_information": [
				{
					"code": "096",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 34420,
					"minimum": 26477.2,
					"maximum": 46094.5,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 31772.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 37813.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 28417,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 35744.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 34420.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 40904.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 45451.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 43025.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 27006.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 26742,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 26477.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 46094.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC",
			"code_information": [
				{
					"code": "097",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 51069,
					"minimum": 39283.9,
					"maximum": 68926.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 53033.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 39283.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 39283.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 39283.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 39283.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 39283.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 63093.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						}
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				}
			]
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		{
			"description": "NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC",
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					"code": "098",
					"type": "MS-DRG"
				}
			],
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
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							"methodology": "case rate"
						},
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						},
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						},
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						},
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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						},
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						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES ",
			"code_information": [
				{
					"code": "0981",
					"type": "APR-DRG"
				}
			],
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						},
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						},
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							"methodology": "case rate"
						},
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						},
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						},
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						},
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						},
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						},
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						},
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							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES ",
			"code_information": [
				{
					"code": "0982",
					"type": "APR-DRG"
				}
			],
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						},
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						},
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						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES ",
			"code_information": [
				{
					"code": "0983",
					"type": "APR-DRG"
				}
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					"minimum": 16874.2,
					"maximum": 21936.4,
					"payers_information": [
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							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES ",
			"code_information": [
				{
					"code": "0984",
					"type": "APR-DRG"
				}
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			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 32205,
					"maximum": 41866.4,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 32205,
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							"methodology": "case rate"
						},
						{
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							"standard_charge_dollar": 32688,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 35425.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 33815.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC",
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				{
					"code": "099",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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							"payer_name": "Brand New Day",
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							"payer_name": "Coventry Healthcare WC, INC.",
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Traditional Medicare",
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 26791,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 15649.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 16126.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 18779.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 23775,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 21127,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 15649.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 16482.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 15649.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 15649.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 15649.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SEIZURES WITH MCC",
			"code_information": [
				{
					"code": "100",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 28645,
					"minimum": 20308,
					"maximum": 38174.3,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 35806.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 22034.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 34392.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 22978.7,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 21028,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 18590,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 19413,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 26441.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 10543,
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 38174.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 22034.7,
							"estimated_amount": 54815,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 22255,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 33877.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FNA BX US GUIDANCE 1ST LESION",
			"code_information": [
				{
					"code": "10005",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 3050.05,
					"discounted_cash": 1142,
					"minimum": 111.69,
					"maximum": 2440.04,
					"payers_information": [
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 122.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 122.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 111.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 145.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2440.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1921.84,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 111.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Imperial Health Plan Of CA",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"methodology": "percent of total billed charges"
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Keenan",
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							"payer_name": "Brand New Day",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Scan Health Plan",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Tricare",
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					]
				}
			]
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		{
			"description": "HC FINE NEEDLE ASPIRATION BX WUS GDN EA ADDL",
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				{
					"code": "10006",
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					"setting": "outpatient",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "FNA BX CT GUIDANCE 1ST  LESION",
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				{
					"code": "10009",
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			],
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					"setting": "outpatient",
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					"discounted_cash": 1142,
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					"maximum": 2487.88,
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 1054.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 428.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 449.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 471.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 471.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 557.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1554.92,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "ENDOVENOUS RF VEIN ADD-ON",
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				{
					"code": "10021",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1899.6,
					"discounted_cash": 647,
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					"maximum": 1519.68,
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							"payer_name": "Non-Contracted Medicare",
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 77.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Altamed",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 73.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 73.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 80.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE",
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				{
					"code": "10030",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3109.85,
					"discounted_cash": 1142,
					"minimum": 133.28,
					"maximum": 2487.88,
					"payers_information": [
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 139.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 173.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 133.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 896.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"standard_charge_percentage": 63.01,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 191.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 146.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC INCISION & DRAIN SKIN ABSCESS SIMPLE",
			"code_information": [
				{
					"code": "10060",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 964,
					"discounted_cash": 325,
					"minimum": 60.88,
					"maximum": 771.2,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 66.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 250,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 482,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 66.97,
							"estimated_amount": 16,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 607.42,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 66.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 771.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 79.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 63.92,
							"estimated_amount": 15,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 545.33,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HARMONIC CONSOLE  HAND PIECE",
			"code_information": [
				{
					"code": "10061",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 108.67,
					"maximum": 1278.04,
					"payers_information": [
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 119.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 119.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 141.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 479.26,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 119.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 878.65,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 798.77,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 114.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC INCISION & DRAIN PILONIDAL CYST SIMPL",
			"code_information": [
				{
					"code": "10080",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3050.05,
					"discounted_cash": 1142,
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					"maximum": 2440.04,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 79.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 79.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 86.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 896.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 82.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1921.84,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 1525.03,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 79.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 2440.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2440.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 79.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 1054.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Imperial Health Plan Of CA",
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							"payer_name": "Worker Comp",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "percent of total billed charges"
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					]
				}
			]
		},
		{
			"description": "I&d pilonidal cyst comp",
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				{
					"code": "10081",
					"type": "CPT"
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			],
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				{
					"setting": "outpatient",
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Altamed",
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							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 1054.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "SEIZURES WITHOUT MCC",
			"code_information": [
				{
					"code": "101",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 13732,
					"minimum": 8779.89,
					"maximum": 17722.9,
					"payers_information": [
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 10563.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 10563.2,
							"estimated_amount": 12500,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 14260.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 8779.89,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 17165.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10563.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 10563.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 10563.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10563.2,
							"estimated_amount": 9226,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10563.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 15779.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "UHC",
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							"standard_charge_dollar": 15727.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 17722.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 17475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10563.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 13732.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 10667.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 10563.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 10774.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 12675.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Inc&rmvl fb subq tiss smpl",
			"code_information": [
				{
					"code": "10120",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 14942,
					"discounted_cash": 647,
					"minimum": 74.23,
					"maximum": 11953.6,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Scan Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 81.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 798.77,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 96.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 77.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 81.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 81.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 8218.1,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 81.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REMOVE FOREIGN BODY COMPLEX",
			"code_information": [
				{
					"code": "10121",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6863,
					"discounted_cash": 2633,
					"minimum": 134.7,
					"maximum": 11953.6,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 141.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 148.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 141.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 175.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 4482.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 2058.9,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 175.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 9414.95,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 148.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Molina",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "UHC",
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							"payer_name": "UHC",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Alignment",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Brand New Day",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Altamed",
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							"methodology": "fee schedule"
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Brand New Day",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "WellCare",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Coventry Healthcare WC, INC.",
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Brand New Day",
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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						{
							"payer_name": "Health Net Of CA",
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							"payer_name": "Molina",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Molina",
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							"payer_name": "Blue Shield Of Promise",
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				}
			]
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		{
			"description": "I&d hmtma seromafluid collj",
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				{
					"code": "10140",
					"type": "CPT"
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				{
					"setting": "outpatient",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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						{
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							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "Health Net Of CA",
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						{
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							"payer_name": "Imperial Health Plan Of CA",
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							"payer_name": "Alignment",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Heritage Provider Network",
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Non-Contracted Medicare",
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 71.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 71.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 3882.4,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 93.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2058.9,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "EXC BEN LES SCNKHF0.6-1.0CM",
			"code_information": [
				{
					"code": "10160",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 67.29,
					"maximum": 1278.04,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1006.62,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 87.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 74.02,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 74.02,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 479.26,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 70.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 74.02,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HEADACHES WITH MCC",
			"code_information": [
				{
					"code": "102",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17066,
					"minimum": 10313.9,
					"maximum": 22295.4,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 21333,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 17722.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10313.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 19785.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 17066.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 15753.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 22295.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 13390.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 13259.3,
							"estimated_amount": 999999999,
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							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 13420.1,
							"estimated_amount": 999999999,
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						},
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							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 20932.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "HEADACHES WITHOUT MCC",
			"code_information": [
				{
					"code": "103",
					"type": "MS-DRG"
				}
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				{
					"setting": "inpatient",
					"discounted_cash": 12729,
					"minimum": 9792.06,
					"maximum": 16348,
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9792.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 9792.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Tricare",
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							"standard_charge_dollar": 10414.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 9889.98,
							"estimated_amount": 999999999,
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "WellCare",
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							"standard_charge_dollar": 9792.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 9792.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 16348,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 16121.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 9841.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
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				{
					"code": "104",
					"type": "TRIS-DRG"
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			],
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				{
					"setting": "inpatient",
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
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		{
			"description": "UnGrouped",
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					"code": "105",
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				{
					"setting": "inpatient",
					"minimum": 6386.21,
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
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		{
			"description": "UnGrouped",
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				{
					"code": "106",
					"type": "TRIS-DRG"
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			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 7662.99,
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
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				{
					"code": "107",
					"type": "TRIS-DRG"
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			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6350.3,
					"maximum": 6350.3,
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
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		{
			"description": "UnGrouped",
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				{
					"code": "108",
					"type": "TRIS-DRG"
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			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11513,
					"maximum": 11513,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "UnGrouped",
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				{
					"code": "109",
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				{
					"setting": "inpatient",
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					"maximum": 12825.7,
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
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					]
				}
			]
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			"description": "HC REMOVE MESH FROM ABD WALL FOR INFECTION",
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				{
					"code": "11008",
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				{
					"setting": "outpatient",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 223.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"standard_charge_dollar": 171.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 171.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 180.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 171.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 188.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 590.05,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 246.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
			"code_information": [
				{
					"code": "1101",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6263.63,
					"maximum": 8142.72,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6263.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 6263.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 6889.99,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6576.81,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6263.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
			"code_information": [
				{
					"code": "1102",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 9212.28,
					"payers_information": [
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							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7795.01,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 7192.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 7795.01,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7086.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7086.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 7086.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 7086.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 7086.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 7440.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 7086.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9212.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
			"code_information": [
				{
					"code": "1103",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10319.3,
					"maximum": 13415.1,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 11351.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 10319.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 10319.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 10319.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11351.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10319.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 10319.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 10319.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 10835.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 10319.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 10319.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 10474.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 10319.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13415.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
			"code_information": [
				{
					"code": "1104",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17877.1,
					"maximum": 23240.2,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 17877.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 23240.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 17877.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 18145.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 19664.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 18770.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 17877.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 17877.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 17877.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 17877.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17877.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17877.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19664.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DEBRIDE SKIN SUB-Q TISS =<20 SQ CM",
			"code_information": [
				{
					"code": "11042",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 114.26,
					"maximum": 1278.04,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 878.65,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 163.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 193.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 156.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1006.62,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 479.26,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 163.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 114.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DEBRIDE SKIN SUB-Q TISS MUSCLE =<20 SQ CM",
			"code_information": [
				{
					"code": "11043",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2485.1,
					"discounted_cash": 1020,
					"minimum": 224.83,
					"maximum": 11953.6,
					"payers_information": [
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1242.55,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 247.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 236.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 292.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 247.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 247.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 292.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 1366.81,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Brand New Day",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Brand New Day",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Brand New Day",
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				}
			]
		},
		{
			"description": "GENERAL LAPARO VIDEO TOWER",
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				{
					"code": "11044",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "LA Care Health Plan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Scan Health Plan",
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						{
							"payer_name": "Health Net Of CA",
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						{
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
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						{
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 319.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Alignment",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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			"description": "Dbrdmt subq tiss each addl",
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				{
					"code": "11045",
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					"setting": "outpatient",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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					]
				}
			]
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		{
			"description": "Dbrdmt musc&fsca ea addl",
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				{
					"code": "11046",
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				{
					"setting": "outpatient",
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					"maximum": 2131.2,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "Dbrdmt bone each addl",
			"code_information": [
				{
					"code": "11047",
					"type": "CPT"
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				{
					"setting": "outpatient",
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					"minimum": 54.36,
					"maximum": 2294.4,
					"payers_information": [
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 70.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1434,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 77.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Paringcutg b9 hyprker les 1",
			"code_information": [
				{
					"code": "11055",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 24.03,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 24.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 31.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC TRIM BENIGN HYPERKERATOTIC SKIN LESION,2-4",
			"code_information": [
				{
					"code": "11056",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 36.32,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 39.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 39.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 38.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 262.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 436.82,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 47.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "111",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 21340.3,
					"maximum": 21340.3,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 21340.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC TANGENTIAL BIOPSY SKIN SINGLE LESION",
			"code_information": [
				{
					"code": "11102",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 89.35,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 93.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 116.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 436.82,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 98.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 262.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 480.51,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 98.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 98.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 128.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC TANGENTIAL BIOPSY SKIN EA SEPADDITIONAL LESION",
			"code_information": [
				{
					"code": "11103",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 391.67,
					"minimum": 48.03,
					"maximum": 313.34,
					"payers_information": [
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 221.57,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 68.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 62.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 52.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 50.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 246.79,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 313.34,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 195.84,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 117.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 313.34,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 215.42,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 52.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 52.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 313.34,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PUNCH BIOPSY SKIN SINGLE LESION",
			"code_information": [
				{
					"code": "11104",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 647,
					"minimum": 112.06,
					"maximum": 747.3,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 123.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 436.82,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 123.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 480.51,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 117.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 262.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 550.49,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 160.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 145.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PUNCH BIOPSY SKIN EA SEPADDITIONAL LESION",
			"code_information": [
				{
					"code": "11105",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 374.08,
					"minimum": 54.73,
					"maximum": 299.26,
					"payers_information": [
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 211.62,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 78.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 54.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 57.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 187.04,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 299.26,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 54.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 71.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 60.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 54.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 60.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 54.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 54.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 54.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 112.22,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 299.26,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 235.71,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 299.26,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 54.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 54.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 60.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Incal bx skn single les",
			"code_information": [
				{
					"code": "11106",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 1020,
					"minimum": 135.89,
					"maximum": 1278.04,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 135.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 798.77,
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							"standard_charge_algorithm": "Not To Exceed $5500",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 149.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 142.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 135.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 903.73,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 135.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 176.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 194.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Incal bx skn ea sepaddl",
			"code_information": [
				{
					"code": "11107",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"minimum": 64.78,
					"maximum": 295.2,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 84.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 71.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 68.02,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 64.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 64.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 64.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 184.5,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 208.74,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 202.95,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 64.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 295.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 64.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 295.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 71.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 64.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 92.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 71.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "VERTIGO & OTHER LABYRINTH DISORDERS ",
			"code_information": [
				{
					"code": "1111",
					"type": "APR-DRG"
				}
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			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 6252.12,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 4809.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4809.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5290.25,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 4809.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 4809.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 4809.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6252.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 4881.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4809.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 4809.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 4809.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 4809.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5049.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 5290.25,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VERTIGO & OTHER LABYRINTH DISORDERS ",
			"code_information": [
				{
					"code": "1112",
					"type": "APR-DRG"
				}
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			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5513.96,
					"maximum": 7168.15,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
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					"code": "1113",
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					]
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			]
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		{
			"description": "INFECTIONS OF UPPER RESPIRATORY TRACT ",
			"code_information": [
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					"code": "1131",
					"type": "APR-DRG"
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
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						},
						{
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					"code": "1132",
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					"code": "11401",
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							"plan_name": "LA Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Aetna",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "WellCare",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "Exc tr-ext b9+marg 3.1-4 cm",
			"code_information": [
				{
					"code": "11404",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 14942,
					"discounted_cash": 2633,
					"minimum": 127.1,
					"maximum": 11953.6,
					"payers_information": [
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							"payer_name": "Imperial Health Plan Of CA",
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						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 133.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 139.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 8452.69,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 127.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 127.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 4482.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 127.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 139.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 9414.95,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "HC EXC B9 LESION MRGN XCP SK TG TAL >4.0 CM",
			"code_information": [
				{
					"code": "11406",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 7184.95,
					"discounted_cash": 2633,
					"minimum": 277.15,
					"maximum": 11953.6,
					"payers_information": [
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 277.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 5747.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 3592.47,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5747.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 277.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 277.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 291.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 304.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 291.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 5747.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 304.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2155.49,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 277.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 304.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 3951.72,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 4482.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 277.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 277.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Worker Comp",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Alignment",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "UHC",
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							"payer_name": "Imperial Health Plan Of CA",
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							"payer_name": "Altamed",
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							"methodology": "fee schedule"
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					]
				}
			]
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			"description": "DENTAL DISEASES AND DISORDERS ",
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					"code": "1141",
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					"setting": "inpatient",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Avanti Hospitals, LLC",
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				}
			]
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			"description": "DENTAL DISEASES AND DISORDERS ",
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					"code": "1142",
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					"setting": "inpatient",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "LA Care Health Plan",
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			"description": "Exc h-f-nk-sp b9+marg 0.5<",
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				{
					"code": "11420",
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					"setting": "outpatient",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "WellCare",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 76.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 99.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 76.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 84.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 76.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 8218.1,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 76.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Exc h-f-nk-sp b9+marg 3.1-4",
			"code_information": [
				{
					"code": "11424",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14942,
					"discounted_cash": 2633,
					"minimum": 145.26,
					"maximum": 11953.6,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 159.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 159.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 9414.95,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 4482.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 159.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 188.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 152.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 8218.1,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Exc h-f-nk-sp b9+marg >4 cm",
			"code_information": [
				{
					"code": "11426",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14942,
					"discounted_cash": 4615,
					"minimum": 344.44,
					"maximum": 11953.6,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 344.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 378.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Non-Contracted Medicare",
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							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Aetna",
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							"methodology": "fee schedule"
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Traditional Medicare",
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
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							"payer_name": "Tricare",
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Anthem Blue Cross",
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							"methodology": "fee schedule"
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					]
				}
			]
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		{
			"description": "DENTAL DISEASES AND DISORDERS ",
			"code_information": [
				{
					"code": "1143",
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				}
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				{
					"setting": "inpatient",
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							"payer_name": "Molina",
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 7002.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL DISEASES AND DISORDERS ",
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				{
					"code": "1144",
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				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 17598.3,
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						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14890.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 13740.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 17598.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 14890.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Exc skn hdrdnt ax smplntrm",
			"code_information": [
				{
					"code": "11450",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14942,
					"discounted_cash": 4615,
					"minimum": 168.76,
					"maximum": 11953.6,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 219.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Aetna",
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 3621.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 177.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EXTRAOCULAR PROCEDURES EXCEPT ORBIT",
			"code_information": [
				{
					"code": "115",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 22275,
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					"maximum": 29438.8,
					"payers_information": [
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							"payer_name": "Aetna",
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 17306.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 20561.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 17477.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 27139.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 22275.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 27844.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 20119.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 17720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 29438.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 17134.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 26124.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH,THROAT & CRANIALFACIAL DIAGNOSES ",
			"code_information": [
				{
					"code": "1151",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 5170.85,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 4375.34,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 4037.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 4176.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4375.34,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5170.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH,THROAT & CRANIALFACIAL DIAGNOSES ",
			"code_information": [
				{
					"code": "1152",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					]
				}
			]
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			"description": "OTHER EAR, NOSE, MOUTH,THROAT & CRANIALFACIAL DIAGNOSES ",
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				{
					"code": "1154",
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					"setting": "inpatient",
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						},
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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						},
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							"payer_name": "Kaiser Hospital Foundation",
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "INTRAOCULAR PROCEDURES WITH CCMCC",
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				{
					"code": "116",
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			],
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					"setting": "inpatient",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						},
						{
							"payer_name": "UHC",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "Traditional Medicare",
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						{
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							"payer_name": "Avanti Hospitals, LLC",
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						{
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						},
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							"payer_name": "WellCare",
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						},
						{
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							"methodology": "case rate"
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					]
				}
			]
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		{
			"description": "Exc tr-ext mal+marg 0.6-1 cm",
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				{
					"code": "11601",
					"type": "CPT"
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			],
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					"setting": "outpatient",
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					"maximum": 14294.4,
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						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_dollar": 14294.4,
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
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						},
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 10107.9,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
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						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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						},
						{
							"payer_name": "UHC",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"methodology": "percent of total billed charges"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Brand New Day",
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "fee schedule"
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							"payer_name": "Molina",
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						},
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							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "INTRAOCULAR PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "117",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 20789.9,
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						},
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Alignment",
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							"payer_name": "UHC",
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							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "LA Care Health Plan",
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							"payer_name": "Altamed",
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Tricare",
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							"standard_charge_dollar": 11904.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 12378,
							"estimated_amount": 999999999,
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						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC TRIM NAIL(S)",
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				{
					"code": "11719",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"discounted_cash": 99,
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					"maximum": 222.64,
					"payers_information": [
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 114.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 222.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 96.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 99.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 139.15,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 77.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 222.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 99.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 83.49,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 222.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 77.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CAUTERY UNITS OR",
			"code_information": [
				{
					"code": "11720",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 349,
					"discounted_cash": 99,
					"minimum": 28.3,
					"maximum": 279.2,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 29.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 31.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 104.7,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 99.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 31.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 77.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 77.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 174.5,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 114.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 191.95,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 219.9,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 36.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 96.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 99.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 197.43,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 279.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 31.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 114.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 279.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 279.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC DEBRIDEMENT OF NAILS, 6 OR MORE",
			"code_information": [
				{
					"code": "11721",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 366,
					"discounted_cash": 99,
					"minimum": 47.52,
					"maximum": 292.8,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 114.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 183,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 52.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 52.27,
							"estimated_amount": 999999999,
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							"payer_name": "Aetna",
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							"payer_name": "Keenan",
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 61.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Removal of nail plate",
			"code_information": [
				{
					"code": "11730",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 45.93,
					"maximum": 698.92,
					"payers_information": [
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "WellCare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 50.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 436.82,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 50.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 550.49,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 50.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 48.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 59.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 480.51,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "Remove nail plate add-on",
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				{
					"code": "11732",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $12453",
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 27.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DRAIN BLOOD FROM UNDER NAIL",
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				{
					"code": "11740",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 436.12,
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"methodology": "fee schedule"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 201.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 161.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 207.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 30.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 239.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 30.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 28.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 28.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 191.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 308.39,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 36.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 436.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "DEMAGNETIZER",
			"code_information": [
				{
					"code": "11750",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 121.22,
					"maximum": 1278.04,
					"payers_information": [
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
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							"payer_name": "Molina",
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan Of CA",
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Non-Contracted Medicare",
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					]
				}
			]
		},
		{
			"description": "DENTAL MACHINE UNIT W ACCESS",
			"code_information": [
				{
					"code": "11760",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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					"maximum": 1988.08,
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Blue Shield of CA",
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Molina",
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Heritage Provider Network",
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							"payer_name": "Imperial Health Plan Of CA",
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							"payer_name": "Alignment",
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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						{
							"payer_name": "Molina",
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						{
							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Aetna",
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						{
							"payer_name": "WellCare",
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						},
						{
							"payer_name": "Altamed",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 158.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 151.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 745.53,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC EXCISION OF NAIL FOLD (WEDGE), TOE",
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				{
					"code": "11765",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1729.2,
					"discounted_cash": 647,
					"minimum": 75.84,
					"maximum": 1383.36,
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
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							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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						{
							"payer_name": "WellCare",
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							"methodology": "fee schedule"
						},
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 83.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "118",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 7661.84,
					"maximum": 7661.84,
					"payers_information": [
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "UnGrouped",
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				{
					"code": "119",
					"type": "TRIS-DRG"
				}
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			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7277.18,
					"maximum": 7277.18,
					"payers_information": [
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "120",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 7963.07,
					"maximum": 7963.07,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 7963.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Rpr snaxgentrnk 2.5cm<",
			"code_information": [
				{
					"code": "12001",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 100.39,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 100.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 100.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 100.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 130.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 105.41,
							"estimated_amount": 12,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"estimated_amount": 999999999,
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $11207",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 12,
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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				}
			]
		},
		{
			"description": "Rpr snaxgentrnk2.6-7.5cm",
			"code_information": [
				{
					"code": "12002",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 698.92,
					"payers_information": [
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "WellCare",
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							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medicare",
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							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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							"estimated_amount": 999999999,
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 112.15,
							"estimated_amount": 12,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 550.49,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 117.49,
							"estimated_amount": 12,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND SMP BODYSCALPEXTR 7.6-12.5 CM",
			"code_information": [
				{
					"code": "12004",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 120.69,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 132.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 436.82,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 132.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 262.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 480.51,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 550.49,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 126.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 156.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 132.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND SMP BODYSCALPEXTR 12.6-20 CM",
			"code_information": [
				{
					"code": "12005",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 146.32,
					"maximum": 1278.04,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 160.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 190.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 903.73,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 160.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 153.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "BEARHUGGER UNIT DEVICE",
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				{
					"code": "12006",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1765,
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					"minimum": 197.59,
					"maximum": 1412,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 217.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 529.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 207.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 882.5,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 256.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 1412,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 217.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 217.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Rpr snaxgentrnk >30.0 cm",
			"code_information": [
				{
					"code": "12007",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 902.9,
					"discounted_cash": 325,
					"minimum": 250.13,
					"maximum": 722.32,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 444.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 403.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 403.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 270.87,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 444.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 403.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 423.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 403.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1201",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 16257.6,
					"maximum": 21134.9,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17883.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 17070.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 17883.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 16501.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 21134.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Rpr feenlm 2.5 cm<",
			"code_information": [
				{
					"code": "12011",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 104.67,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 262.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 109.9,
							"estimated_amount": 18,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 104.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 115.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 480.51,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 104.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 436.83,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 115.14,
							"estimated_amount": 19,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 136.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 104.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 238.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 104.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 104.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 104.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 104.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 104.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND SMP FACE 2.6-5.0 CM",
			"code_information": [
				{
					"code": "12013",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 113.75,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 125.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 262.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 125.13,
							"estimated_amount": 19,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 125.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 436.82,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 119.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 550.49,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 147.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ESWL TABLE",
			"code_information": [
				{
					"code": "12014",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 132.97,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 146.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 132.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 146.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 139.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 132.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 146.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 436.82,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 172.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND SMP FACE 7.6-12.5 CM",
			"code_information": [
				{
					"code": "12015",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 161.81,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 161.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 210.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 161.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 161.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 161.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 177.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 161.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 177.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 161.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 161.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 550.49,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 169.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 177.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 161.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 436.82,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "ADDITIONAL BARIATRIC PROCEDURE",
			"code_information": [
				{
					"code": "12016",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1729.2,
					"discounted_cash": 647,
					"minimum": 223.75,
					"maximum": 1383.36,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 246.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 246.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 290.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 518.76,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 978.21,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 864.6,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 234.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 246.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1089.57,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 951.06,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ADDITIONAL PLASTIC PROCEDURE",
			"code_information": [
				{
					"code": "12017",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 865.35,
					"discounted_cash": 647,
					"minimum": 259.61,
					"maximum": 747.3,
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 692.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 467.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 467.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 467.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 489.53,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 607.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 692.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 467.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 692.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 514,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 490.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 467.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 545.26,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 514,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 514,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 467.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD TRANSFUSION SERVICE",
			"code_information": [
				{
					"code": "12018",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 897.75,
					"discounted_cash": 325,
					"minimum": 250.13,
					"maximum": 718.2,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 718.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 269.32,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 448.88,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 572.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 493.76,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 599.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 599.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 718.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 708.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 507.86,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 718.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 565.67,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 599.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1202",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19732.7,
					"maximum": 25652.6,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21706,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 20028.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 21706,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 20719.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 25652.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC TREAT WND DEHISCENCE, SIMPLE CLOSURE",
			"code_information": [
				{
					"code": "12020",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2485.1,
					"discounted_cash": 1020,
					"minimum": 245.66,
					"maximum": 38680.2,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1988.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 1242.55,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 245.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 11207,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 270.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 245.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 245.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 245.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 1366.81,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 245.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 245.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 14505.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 800.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 257.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 245.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 12453,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 245.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 38680.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 270.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 270.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1988.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 319.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 245.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 745.53,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 245.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_dollar": 38680.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "UHC",
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							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
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		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
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				{
					"code": "1203",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 27707.9,
					"maximum": 36020.3,
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						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 27707.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30478.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 27707.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD BODYSCALPEXTR <2.5 CM",
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				{
					"code": "12031",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
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					"maximum": 1278.04,
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 903.73,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 133.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 133.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 127.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 157.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD BODYSCALPEXTR 2.6-7.5 CM",
			"code_information": [
				{
					"code": "12032",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 131.38,
					"maximum": 1278.04,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 170.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 798.77,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1006.62,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 144.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 479.26,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 144.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 878.65,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 137.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 903.73,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 144.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Intmd rpr strext 7.6-12.5",
			"code_information": [
				{
					"code": "12034",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 148.99,
					"maximum": 1278.04,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 903.73,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 479.26,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 798.77,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 163.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 163.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 193.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 156.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 878.65,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1006.62,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 163.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD BODYSCALPEXTR 12.5-20 CM",
			"code_information": [
				{
					"code": "12035",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 162.35,
					"maximum": 1278.04,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 878.65,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 178.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 170.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 903.73,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1006.62,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 178.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 798.77,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 178.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 479.26,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 211.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD BODYSCALPEXTR 20.1-30 CM",
			"code_information": [
				{
					"code": "12036",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2485.1,
					"discounted_cash": 1020,
					"minimum": 226.97,
					"maximum": 1988.08,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1988.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 1405.82,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 226.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 1366.81,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1565.86,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1988.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1204",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 64120.4,
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 54255.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 51789.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD NECKHNDFTGENT <2.5 CM",
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				{
					"code": "12041",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 134.58,
					"maximum": 1278.04,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 798.77,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 479.26,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 141.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 148.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Intmd rpr n-hfgenit2.6-7.5",
			"code_information": [
				{
					"code": "12042",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 143.12,
					"maximum": 1278.04,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 157.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 186.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 903.73,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1006.62,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 798.77,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 157.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 157.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 878.65,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 150.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD NECKHNDFTGENT 7.6-12.5 CM",
			"code_information": [
				{
					"code": "12044",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2485.1,
					"discounted_cash": 1020,
					"minimum": 155.4,
					"maximum": 1988.08,
					"payers_information": [
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							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 202.02,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 745.53,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 1366.81,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1988.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 800.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 163.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Intmd rpr n-hfgenit12.6-20",
			"code_information": [
				{
					"code": "12045",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2674.45,
					"discounted_cash": 1020,
					"minimum": 176.23,
					"maximum": 2139.56,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 229.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 802.34,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 193.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 193.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 800.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1337.22,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 2139.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 193.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2139.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 185.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
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		{
			"description": "Intmd rpr facemm 2.5 cm<",
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				{
					"code": "12051",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 135.11,
					"maximum": 1278.04,
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 148.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 141.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 148.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 175.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 479.26,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1006.62,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 798.77,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Intmd rpr facemm 2.6-5.0 cm",
			"code_information": [
				{
					"code": "12052",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1597.55,
					"discounted_cash": 647,
					"minimum": 142.05,
					"maximum": 1278.04,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 156.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 798.77,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1006.62,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 903.73,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 479.26,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 149.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 184.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 156.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Intmd rpr facemm 5.1-7.5 cm",
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				{
					"code": "12053",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1729.2,
					"discounted_cash": 647,
					"minimum": 154.33,
					"maximum": 1383.36,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 169.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 951.06,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 864.6,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 169.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1089.57,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 200.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 518.76,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 162.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 169.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 978.21,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Intmd rpr facemm 7.6-12.5cm",
			"code_information": [
				{
					"code": "12054",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1729.2,
					"discounted_cash": 647,
					"minimum": 223.75,
					"maximum": 1383.36,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 234.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 864.6,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 246.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 290.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 518.76,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 1089.57,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 246.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 978.21,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 951.06,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 246.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD FACE 12.6-20 CM",
			"code_information": [
				{
					"code": "12055",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1729.2,
					"discounted_cash": 647,
					"minimum": 332.69,
					"maximum": 1383.36,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 978.21,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 349.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 365.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1089.57,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 365.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 864.6,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 432.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 518.76,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1383.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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						}
					]
				}
			]
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			"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC",
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				{
					"code": "122",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 13042.7,
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						},
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Molina",
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						},
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						},
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							"payer_name": "Coventry Healthcare WC, INC.",
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						},
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							"payer_name": "Avanti Hospitals, LLC",
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						},
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							"payer_name": "Health Net Of CA",
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						},
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						},
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							"payer_name": "Scan Health Plan",
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 7938.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 7851.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 9525.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10319.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8096.81,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 7938.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8017.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
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						},
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							"payer_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NEUROLOGICAL EYE DISORDERS",
			"code_information": [
				{
					"code": "123",
					"type": "MS-DRG"
				}
			],
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					"discounted_cash": 12070,
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 9285.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 9285.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 9285.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9285.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9285.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9285.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9470.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 9285.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 9297.04,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9285.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9285.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT",
			"code_information": [
				{
					"code": "124",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 19091,
					"minimum": 14685.5,
					"maximum": 25072,
					"payers_information": [
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							"payer_name": "UHC",
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							"standard_charge_dollar": 22249.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 14685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 14685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 17000.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 17622.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 14685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 14685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 14685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 22932.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 14685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 23863.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14979.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 25072,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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			"description": "RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 36950.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 45747.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 38709.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS ",
			"code_information": [
				{
					"code": "1304",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 46004.4,
					"maximum": 59805.7,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 59805.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 48304.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 50604.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 50604.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 46694.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1311",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 9669.69,
					"maximum": 12570.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10636.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 12570.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 9814.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 10153.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1312",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 12686.4,
					"maximum": 16492.3,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 12876.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 13955,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX SCALP 2.6-7.5 CM",
			"code_information": [
				{
					"code": "13121",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2485.1,
					"discounted_cash": 1020,
					"minimum": 241.91,
					"maximum": 1988.08,
					"payers_information": [
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 266.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1565.86,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 266.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1988.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 800.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 254.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Brand New Day",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Molina",
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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					]
				}
			]
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			"description": "HC REPR WND CPLX SCALP ADD 5.0 CM",
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				{
					"code": "13122",
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			],
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					"setting": "outpatient",
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
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		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
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				{
					"code": "1313",
					"type": "APR-DRG"
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			],
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					"setting": "inpatient",
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					"maximum": 22348.9,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
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						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Cmplx rpr fccmnaxghf",
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				{
					"code": "13132",
					"type": "CPT"
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			],
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				{
					"setting": "outpatient",
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					"maximum": 2096.68,
					"payers_information": [
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 472.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 1482.61,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 399.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1651.4,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "WellCare",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 399.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1314",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 22318.1,
					"maximum": 29013.5,
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 24549.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 24549.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 29013.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 23434,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX EYEEARNOSELIP 1.1-2.5 CM",
			"code_information": [
				{
					"code": "13151",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2674.45,
					"discounted_cash": 1020,
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					"maximum": 2139.56,
					"payers_information": [
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 304.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 257.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 800.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 2139.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 1337.22,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 1512.94,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 257.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 2139.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
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			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ",
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			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ",
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						},
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						},
						{
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			"description": "RESPIRATORY FAILURE ",
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					"code": "1333",
					"type": "APR-DRG"
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						{
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						},
						{
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						},
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						},
						{
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						},
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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						}
					]
				}
			]
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			"description": "RESPIRATORY FAILURE ",
			"code_information": [
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					"code": "1334",
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					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
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						},
						{
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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						{
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						},
						{
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						},
						{
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						},
						{
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						}
					]
				}
			]
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					"code": "1341",
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						{
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						},
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					]
				}
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							"payer_name": "Health Net Of CA",
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						{
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						{
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						{
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			"description": "PULMONARY EMBOLISM ",
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							"methodology": "case rate"
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						{
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						{
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						{
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							"methodology": "case rate"
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						{
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						{
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						},
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						}
					]
				}
			]
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		{
			"description": "PULMONARY EMBOLISM ",
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					"code": "1344",
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				}
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					"payers_information": [
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 15549,
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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			"description": "RESPIRATORY MALIGNANCY ",
			"code_information": [
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					"code": "1364",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
					"minimum": 15587,
					"maximum": 20263.1,
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "MOUTH PROCEDURES WITH CCMCC",
			"code_information": [
				{
					"code": "137",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 20418,
					"minimum": 15498.6,
					"maximum": 26892.9,
					"payers_information": [
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							"plan_name": "Health Net Of CA Commercial ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
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							"payer_name": "Worker Comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
						{
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						},
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							"payer_name": "Scan Health Plan",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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						{
							"payer_name": "Alignment",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
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						},
						{
							"payer_name": "Astiva Health Inc",
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						},
						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "LA Care Health Plan",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS ",
			"code_information": [
				{
					"code": "1371",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS ",
			"code_information": [
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					"code": "1372",
					"type": "APR-DRG"
				}
			],
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						{
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						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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						},
						{
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						},
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						},
						{
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						},
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS ",
			"code_information": [
				{
					"code": "1373",
					"type": "APR-DRG"
				}
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 8978,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
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						},
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 8111.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 7840.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 8497.44,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 7724.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8497.44,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 7724.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PNEUMONIA ",
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				{
					"code": "1394",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 13332,
					"maximum": 17331.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 17331.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 14665.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 13332,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 13998.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 13332,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13332,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13332,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 13332,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14665.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13332,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR HEAD AND NECK PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "140",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 60107,
					"minimum": 5941.31,
					"maximum": 81321,
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 60107.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 65542.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 5941.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 72167.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 48950.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 75133.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 47161,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 46236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 46698.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 81321,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 62418.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 55483.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Tis trnfr trunk 10 sq cm<",
			"code_information": [
				{
					"code": "14000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14942,
					"discounted_cash": 2962,
					"minimum": 321.48,
					"maximum": 11953.6,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 321.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2878.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 321.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2967.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2962.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 4482.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 337.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2324.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 417.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 9414.95,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 321.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 353.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 321.48,
							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "WellCare",
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							"payer_name": "Aetna",
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "percent of total billed charges"
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "LA Care Health Plan",
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			]
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		{
			"description": "Tis trnfr trunk 10.1-30sqcm",
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				{
					"code": "14001",
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					"setting": "outpatient",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "UHC",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "Alignment",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Keenan",
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							"payer_name": "Brand New Day",
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 544.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1401",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 6000.99,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4616.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 4685.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 4616.15,
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 5077.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
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			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE ",
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				{
					"code": "1402",
					"type": "APR-DRG"
				}
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				{
					"setting": "inpatient",
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					"maximum": 7395.86,
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 7395.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
		},
		{
			"description": "Tis trnfr sal 10.1-30 sqcm",
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				{
					"code": "14021",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 16405,
					"discounted_cash": 2962,
					"minimum": 483.82,
					"maximum": 13124,
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
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							"payer_name": "Scan Health Plan",
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"payer_name": "WellCare",
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan Of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "UHC",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 2324.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 508.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 4921.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 2878.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 10336.8,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 532.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1403",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 9175.86,
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 7764.19,
							"estimated_amount": 7170,
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 7058.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 7164.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 7411.27,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7058.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 7058.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7058.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 7058.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 7764.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 7058.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 7058.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9175.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 7058.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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				}
			]
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			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE ",
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				{
					"code": "1404",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 16831.9,
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Health Net Of CA",
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						{
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 13595,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Tis trnfr fccmnaghf",
			"code_information": [
				{
					"code": "14040",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 14942,
					"discounted_cash": 2962,
					"minimum": 483.82,
					"maximum": 11953.6,
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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						{
							"payer_name": "Scan Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 532.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2967.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 8218.1,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2324.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 532.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 2962.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Tis trnfr enel 10 sq cm<",
			"code_information": [
				{
					"code": "14060",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 23342,
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					"minimum": 605.06,
					"maximum": 18673.6,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 786.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 2278.49,
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							"methodology": "fee schedule"
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "AIDS Healthcare Foundation",
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						},
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Scan Health Plan",
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							"payer_name": "Keenan",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
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						}
					]
				}
			]
		},
		{
			"description": "MAJOR HEAD AND NECK PROCEDURES WITH CC",
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				{
					"code": "141",
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				}
			],
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				{
					"setting": "inpatient",
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				}
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				{
					"code": "1411",
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				}
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						{
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						},
						{
							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Heritage Provider Network",
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Molina",
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						}
					]
				}
			]
		},
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					"code": "1412",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 6431.69,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 6431.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5194.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
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			]
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			"description": "INTERSTITIAL & ALVEOLAR LUNG DISEASES ",
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					"code": "1421",
					"type": "APR-DRG"
				}
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						},
						{
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						},
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTERSTITIAL & ALVEOLAR LUNG DISEASES ",
			"code_information": [
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					"code": "1422",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Molina",
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						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "INTERSTITIAL & ALVEOLAR LUNG DISEASES ",
			"code_information": [
				{
					"code": "1423",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 11848.5,
					"payers_information": [
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
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						},
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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						},
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						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "INTERSTITIAL & ALVEOLAR LUNG DISEASES ",
			"code_information": [
				{
					"code": "1424",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
					"minimum": 15653.1,
					"maximum": 20349,
					"payers_information": [
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"standard_charge_dollar": 17218.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "143",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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						},
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							"methodology": "case rate"
						},
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"payer_name": "WellCare",
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							"payer_name": "Brand New Day",
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						},
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							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 63490.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 47105.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 36234.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 36234.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Aetna",
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							"standard_charge_dollar": 48917.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 36234.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 36234.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1431",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 5738.16,
					"payers_information": [
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 4413.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4413.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5738.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 4855.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 4634.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 4413.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 4480.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 4413.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4413.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1432",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6167.55,
					"maximum": 8017.82,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 6784.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 6167.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6475.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6167.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6167.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 6167.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 8017.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6167.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6167.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 6260.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 6167.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 6167.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 6167.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6784.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1433",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9126.21,
					"maximum": 11864.1,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 9126.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 9126.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 9126.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9126.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 9126.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9126.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 9582.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 9263.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 10038.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 11864.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 9126.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9126.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10038.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9126.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1434",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14645.2,
					"maximum": 19038.7,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 16109.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 15377.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 19038.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16109.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 14864.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "144",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 25439,
					"minimum": 12738.8,
					"maximum": 33778.6,
					"payers_information": [
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 12738.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 33308.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 20332.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 25439.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 19764.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 33778.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 23482.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 26418.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 29976.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 30020.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 31799.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 19960.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 19569.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1441",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4280.85,
					"maximum": 5565.11,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 4280.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 4280.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 4494.89,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4708.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 4280.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 4280.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5565.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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						}
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		{
			"description": "RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
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					"code": "1442",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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			"description": "RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
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					"code": "1443",
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"methodology": "case rate"
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
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						{
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						}
					]
				}
			]
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			"code_information": [
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					"code": "145",
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"methodology": "case rate"
						},
						{
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Altamed",
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						{
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						{
							"payer_name": "LA Care Health Plan",
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							"plan_name": "Health Net Of CA Medicare Applecare",
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							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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						{
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						},
						{
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							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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						{
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						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 13400.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 13400.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS ",
			"code_information": [
				{
					"code": "1451",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 4073.66,
					"maximum": 5295.76,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",
			"code_information": [
				{
					"code": "147",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18262,
					"minimum": 14048,
					"maximum": 23935.6,
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 14407.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 21438.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14329,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 23602,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 18262.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 15892.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 23935.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 22828,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 14048,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 14188.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC",
			"code_information": [
				{
					"code": "148",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 12035,
					"minimum": 8834.04,
					"maximum": 15434.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 14471.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 11109.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9443.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 9258.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9350.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9258.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 8834.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 9258.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 9258.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15396.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 15044.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9258.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9258.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 9258.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 9258.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 13024,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 9258.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 9258.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DYSEQUILIBRIUM",
			"code_information": [
				{
					"code": "149",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 11289,
					"minimum": 8652.31,
					"maximum": 14373.3,
					"payers_information": [
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							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12919.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8858.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9791.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 14112.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 11724,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11289.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 10421.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14373.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8684.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Blue Shield of CA",
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			"description": "EPISTAXIS WITH MCC",
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				{
					"code": "150",
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					"setting": "inpatient",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Non-Contracted Medicare",
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						{
							"payer_name": "Renal Payer Solutions",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Alignment",
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							"payer_name": "Molina",
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							"payer_name": "Aetna",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Traditional Medicare",
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							"payer_name": "Molina",
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							"payer_name": "Imperial Health Plan Of CA",
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				}
			]
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			"description": "HC PREP WND TRKARLG 100 SQCM OR 1% PEDS",
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				{
					"code": "15002",
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			],
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					"setting": "outpatient",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Kaiser Hospital Foundation",
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						{
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						{
							"payer_name": "Renal Payer Solutions",
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						{
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						{
							"payer_name": "Astiva Health Inc",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Keenan",
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "Avanti Hospitals, LLC",
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						{
							"payer_name": "Molina",
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						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 2878.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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				}
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			"description": "Wound prep addl 100 cm",
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				{
					"code": "15003",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 3080.75,
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					"maximum": 2464.6,
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC PREP WND HEADHNDFTGENT 100 SQCM OR 1% PEDS",
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				{
					"code": "15004",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 2674.45,
					"discounted_cash": 1020,
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					"maximum": 2139.56,
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1337.22,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 422.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 2139.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 357.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 2139.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2139.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 1512.94,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 1470.95,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 357.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 466.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Wnd prep fnhfg addl cm",
			"code_information": [
				{
					"code": "15005",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4009.42,
					"minimum": 100.15,
					"maximum": 3207.54,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1202.83,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 110.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 2205.18,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 3207.54,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 2268.13,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 130.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 2526.34,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 2004.71,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 105.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 110.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3207.54,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 110.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 143.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 3207.54,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EPISTAXIS WITHOUT MCC",
			"code_information": [
				{
					"code": "151",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 11436,
					"minimum": 8773.85,
					"maximum": 14756,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 10557.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8885.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 8773.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8973.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11436.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13370.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 14373.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 12935.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 11876.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14575.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 8797.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 14756,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 14296.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTITIS MEDIA AND URI WITH MCC",
			"code_information": [
				{
					"code": "152",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 16720,
					"minimum": 9039.41,
					"maximum": 21820.5,
					"payers_information": [
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 21516.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 13118.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 20900.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 15434,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 13134.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 20613,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 17363.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 16720.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 19363.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12990.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9039.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12861.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 21820.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Fth grf fr neel each addl",
			"code_information": [
				{
					"code": "15261",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8113.7,
					"minimum": 267.01,
					"maximum": 6490.96,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"standard_charge_algorithm": "Not To Exceed $11207",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "HC APP SKN SUB TRNKARMLEG TTL 100SQCM 1ST 25 SQCM",
			"code_information": [
				{
					"code": "15271",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 8113.7,
					"discounted_cash": 2962,
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					"maximum": 6490.96,
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							"payer_name": "Molina",
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Worker Comp",
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 2878.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Alignment",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
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							"standard_charge_algorithm": "Not To Exceed $11207",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 75.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 2962.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 2434.11,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 103.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 4056.85,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 6490.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Skin sub graft tal add-on",
			"code_information": [
				{
					"code": "15272",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1307.56,
					"minimum": 14.31,
					"maximum": 1046.05,
					"payers_information": [
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 392.27,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1046.05,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1046.05,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 15.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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					]
				}
			]
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		{
			"description": "HC APP SKN SUB TRNKARMLEG >=100SQCM 1ST 100SQCM",
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				{
					"code": "15273",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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					"maximum": 11909.2,
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 5827.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 4572.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 4527.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 180.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 246.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 5663.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 6723.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Skn sub grft tal child add",
			"code_information": [
				{
					"code": "15274",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 1186.62,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 40.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 38.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 47.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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			"description": "BIOPSY, THYROID",
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				{
					"code": "15275",
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					"setting": "outpatient",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Altamed",
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Alignment",
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							"methodology": "fee schedule"
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							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Traditional Medicare",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Scan Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Aetna",
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medicare",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan Of CA",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Tricare",
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
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					]
				}
			]
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			"description": "ASPIRATEINJECT THYROID CYST",
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				{
					"code": "15276",
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			],
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					"setting": "outpatient",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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						{
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							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "OTITIS MEDIA AND URI WITHOUT MCC",
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				{
					"code": "153",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 10787,
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					"maximum": 13684.9,
					"payers_information": [
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 8381.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 8298.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 8237.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
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						},
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						},
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						},
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						},
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						{
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						},
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						}
					]
				}
			]
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			"description": "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",
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				{
					"code": "154",
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				}
			],
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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						{
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						},
						{
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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							"methodology": "case rate"
						},
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						},
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",
			"code_information": [
				{
					"code": "155",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 13899,
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					"maximum": 17951.7,
					"payers_information": [
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
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						},
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 10691.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"standard_charge_dollar": 10691.6,
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 10691.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10691.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10691.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 10691.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 10691.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "156",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10236,
					"minimum": 7668.79,
					"maximum": 12929.2,
					"payers_information": [
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							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 12929.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8031.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7668.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11371.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10236.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 12750,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 9449.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7953.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 7783.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 11474.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 12795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 10630.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 7874.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL AND ORAL DISEASES WITH MCC",
			"code_information": [
				{
					"code": "157",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 23768,
					"minimum": 18283.5,
					"maximum": 31486.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 21940.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 18649.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 18466.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 18952.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 31048.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 29613.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 29710.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 23150,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 31486.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 27942.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 24682.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 18283.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 23768.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC ABRASION, SINGLE",
			"code_information": [
				{
					"code": "15786",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 92.39,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 101.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 92.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 550.49,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 92.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 92.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 92.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 97.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Molina",
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Traditional Medicare",
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							"payer_name": "Brand New Day",
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Traditional Medi-Cal",
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						},
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							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL AND ORAL DISEASES WITH CC",
			"code_information": [
				{
					"code": "158",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"minimum": 8288.64,
					"maximum": 18086.3,
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							"payer_name": "Brand New Day",
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							"payer_name": "Aetna",
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						{
							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Tricare",
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							"methodology": "case rate"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 12920.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 17496.5,
							"estimated_amount": 999999999,
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						}
					]
				}
			]
		},
		{
			"description": "HC BLEPHAROPLASTY UPPER EYELID",
			"code_information": [
				{
					"code": "15822",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 8746.3,
					"discounted_cash": 2962,
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					"maximum": 6997.04,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 4947.78,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 6997.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 628.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 532.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Keenan",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Brand New Day",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Scan Health Plan",
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		{
			"description": "36115853",
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				{
					"code": "15853",
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					"setting": "outpatient",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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			"description": "HC REMOVAL SUTURES&STAPLES NOT REQUIRING ANESTHESIA",
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					"code": "15854",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Kaiser Hospital Foundation",
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					]
				}
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			"description": "Suction lipectomy trunk",
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				{
					"code": "15877",
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					"setting": "outpatient",
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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							"payer_name": "Scan Health Plan",
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							"payer_name": "Molina",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 6723.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $3500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
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			"description": "DENTAL AND ORAL DISEASES WITHOUT CCMCC",
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				{
					"code": "159",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 10057,
					"minimum": 7634.87,
					"maximum": 12683.1,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 9283.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7813.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "UHC",
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							"standard_charge_dollar": 11256.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Tricare",
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							"standard_charge_dollar": 9245.64,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 12571.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Altamed",
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							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11713.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10057.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 12507.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 10444.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 7891.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 7736.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 12683.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "160",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 9332.54,
					"maximum": 9332.54,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 9332.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC TREAT BURN 1ST DEGREE, INITIAL",
			"code_information": [
				{
					"code": "16000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 45.93,
					"maximum": 698.92,
					"payers_information": [
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							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 436.82,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 50.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 59.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 550.49,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 50.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 480.51,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 48.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 50.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"payer_name": "Health Net Of CA",
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			]
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			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
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				{
					"code": "1601",
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			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
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				{
					"code": "1602",
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				{
					"setting": "inpatient",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Molina",
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					]
				}
			]
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			"description": "HC DRESSDEBRIDE BURN <5% TOTAL SM",
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				{
					"code": "16020",
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				{
					"setting": "outpatient",
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							"payer_name": "UHC",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Altamed",
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							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "WellCare",
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							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Keenan",
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
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							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"methodology": "fee schedule"
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							"methodology": "fee schedule"
						},
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 49.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
			"code_information": [
				{
					"code": "1603",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 45882.3,
					"maximum": 59646.9,
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 48176.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 59646.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 50470.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 46570.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 50470.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DRESSDEBRIDE BURN >10% TTL LG",
			"code_information": [
				{
					"code": "16030",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1899.6,
					"discounted_cash": 647,
					"minimum": 116.95,
					"maximum": 1519.68,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1519.68,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 128.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 152.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 122.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 569.88,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 128.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 1044.78,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 1519.68,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 949.8,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1196.94,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 128.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
			"code_information": [
				{
					"code": "1604",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 97139.4,
					"maximum": 126281,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 106853,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 126281,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 106853,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 97139.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 97139.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 97139.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 97139.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 97139.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 97139.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 97139.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 97139.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 101996,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 97139.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 98596.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "161",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21453.8,
					"maximum": 21453.8,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 21453.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "IMPLANTABLE HEART ASSIST SYSTEMS",
			"code_information": [
				{
					"code": "1611",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 123135,
					"maximum": 160075,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 129291,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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					"code": "1612",
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						},
						{
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					"code": "1613",
					"type": "APR-DRG"
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					"setting": "inpatient",
					"minimum": 161433,
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						}
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						},
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						{
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					"code": "162",
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			"description": "CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX ",
			"code_information": [
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					"code": "1621",
					"type": "APR-DRG"
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						},
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						},
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						{
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						{
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						},
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						},
						{
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					]
				}
			]
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		{
			"description": "CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX ",
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					"code": "1622",
					"type": "APR-DRG"
				}
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
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						},
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						},
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						},
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						},
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			"description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
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					"code": "1631",
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				}
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		{
			"description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
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					"code": "1632",
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						},
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						},
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						},
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						},
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						},
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					]
				}
			]
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			"description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
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				{
					"code": "1633",
					"type": "APR-DRG"
				}
			],
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						},
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						}
					]
				}
			]
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			"description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
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				{
					"code": "1634",
					"type": "APR-DRG"
				}
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				{
					"setting": "inpatient",
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					"maximum": 91370.8,
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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						{
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						},
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						},
						{
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						},
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							"methodology": "case rate"
						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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						}
					]
				}
			]
		},
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			"description": "MAJOR CHEST PROCEDURES WITH CC",
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					"code": "164",
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				}
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						},
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						},
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						},
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						},
						{
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						{
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						{
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						},
						{
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
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						},
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						},
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						},
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						},
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						},
						{
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						},
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						},
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						},
						{
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						},
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "165",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 26944,
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					"maximum": 35841.9,
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						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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				}
			]
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					"code": "166",
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						},
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						},
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							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
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					"code": "167",
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						},
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						},
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						},
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						},
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						},
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						},
						{
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						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
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						},
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						},
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						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1671",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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						},
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						},
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							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1672",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 26537.9,
					"maximum": 34499.2,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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						},
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
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						},
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						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1673",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 39311.3,
					"maximum": 51104.8,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 43242.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 43242.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1674",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 64981.4,
					"maximum": 84475.9,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 84475.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 65956.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 68230.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 71479.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 71479.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "168",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 19792,
					"minimum": 15224.7,
					"maximum": 26033.4,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 15224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 15224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 15224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 15224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 15529.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 15224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 15224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
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						{
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					"code": "170",
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							"plan_name": "Tricare",
							"standard_charge_dollar": 4803.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1701",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 19569.6,
					"maximum": 25440.5,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 21526.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 19569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 20548.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 19569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1702",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20308.3,
					"maximum": 26400.7,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 21323.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 20612.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 26400.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 22339.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 22339.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1703",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 27274.5,
					"maximum": 35456.9,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 27274.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 35456.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 30002,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 27274.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30002,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1704",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 38304.4,
					"maximum": 49795.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 40219.7,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 38304.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 38879,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 42134.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 49795.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "171",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 5276.27,
					"maximum": 5276.27,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERM CARDIAC PACEMAKER IMPLANT WO AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1711",
					"type": "APR-DRG"
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			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 18146.1,
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Traditional Medi-cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15354.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 14167.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 13958.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERM CARDIAC PACEMAKER IMPLANT WO AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1712",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15832.2,
					"maximum": 20581.9,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 17415.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17415.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 20581.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 16069.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 16623.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
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		{
			"description": "PERM CARDIAC PACEMAKER IMPLANT WO AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1713",
					"type": "APR-DRG"
				}
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				{
					"setting": "inpatient",
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					"maximum": 26715.6,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 20550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 21578,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 20550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 20550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERM CARDIAC PACEMAKER IMPLANT WO AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1714",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 32139.9,
					"maximum": 41781.9,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 41781.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 32139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 32139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 35353.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 32139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 32139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 32139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 32139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 32622,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 33746.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 32139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 35353.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 32139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "172",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 6226.33,
					"maximum": 6226.33,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 6226.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
		},
		{
			"description": "Chem caut of granltj tissue",
			"code_information": [
				{
					"code": "17250",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 873.65,
					"discounted_cash": 325,
					"minimum": 28.83,
					"maximum": 698.92,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 494.22,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 30.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 31.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 480.51,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 698.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 262.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
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			"description": "ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM",
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					"code": "173",
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			]
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			"description": "UnGrouped",
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					"code": "174",
					"type": "TRIS-DRG"
				}
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			"description": "PERCUTANEOUS CORONARY INTERVENTION W AMI ",
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					"code": "1741",
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						{
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					"code": "1742",
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						{
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					"code": "1743",
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						{
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
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					]
				}
			]
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			"description": "PERCUTANEOUS CORONARY INTERVENTION W AMI ",
			"code_information": [
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					"code": "1744",
					"type": "APR-DRG"
				}
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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					]
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					"code": "175",
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			]
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			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
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						},
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						},
						{
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						},
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				}
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			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
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				}
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			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
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			"description": "INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",
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							"methodology": "case rate"
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		{
			"description": "INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",
			"code_information": [
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					"code": "1764",
					"type": "APR-DRG"
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC",
			"code_information": [
				{
					"code": "177",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 23474,
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						},
						{
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							"estimated_amount": 19499,
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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						{
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						{
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							"methodology": "case rate"
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					]
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			]
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			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
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					"type": "APR-DRG"
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			],
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					"payers_information": [
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						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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						{
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						{
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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		{
			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
			"code_information": [
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					"code": "1772",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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		{
			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
			"code_information": [
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					"code": "1773",
					"type": "APR-DRG"
				}
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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					]
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					"code": "1774",
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				}
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						},
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						},
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						}
					]
				}
			]
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					"code": "178",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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						},
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						},
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						},
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						},
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						}
					]
				}
			]
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					"code": "1781",
					"type": "APR-DRG"
				}
			],
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						},
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						},
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						},
						{
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						},
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						},
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						}
					]
				}
			]
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			"description": "EXTERNAL HEART ASSIST SYSTEMS",
			"code_information": [
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					"code": "1782",
					"type": "APR-DRG"
				}
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					"maximum": 59708.1,
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
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						}
					]
				}
			]
		},
		{
			"description": "EXTERNAL HEART ASSIST SYSTEMS",
			"code_information": [
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					"code": "1783",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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						},
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						},
						{
							"payer_name": "Health Net Of CA",
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						}
					]
				}
			]
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		{
			"description": "EXTERNAL HEART ASSIST SYSTEMS",
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				{
					"code": "1784",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "179",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 11600,
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							"payer_name": "Coventry Healthcare WC, INC.",
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						},
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						},
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							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
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						},
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						},
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						},
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							"payer_name": "Renal Payer Solutions",
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						},
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "WellCare",
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						{
							"payer_name": "Imperial Health Plan Of CA",
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						{
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						{
							"payer_name": "Alignment",
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						{
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						},
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						},
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						},
						{
							"payer_name": "LA Care Health Plan",
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						},
						{
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							"payer_name": "Altamed",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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						},
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
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					"code": "1791",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
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					"code": "1792",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 33237.9,
					"maximum": 43209.3,
					"payers_information": [
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 43209.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 36561.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
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			]
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		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
				{
					"code": "1793",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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						},
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						},
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						},
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
				{
					"code": "1794",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
					"minimum": 57855,
					"maximum": 75211.5,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY NEOPLASMS WITH MCC",
			"code_information": [
				{
					"code": "180",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 25315,
					"minimum": 19473.1,
					"maximum": 33607.5,
					"payers_information": [
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							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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						},
						{
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						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 17322,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 31890,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 19473.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 19862.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 29824.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM PROCEDURES ",
			"code_information": [
				{
					"code": "1801",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 13396.9,
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 11335.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM PROCEDURES ",
			"code_information": [
				{
					"code": "1802",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 12658.4,
					"maximum": 16455.9,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 12658.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 13924.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 13924.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 12658.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "OTHER CIRCULATORY SYSTEM PROCEDURES ",
			"code_information": [
				{
					"code": "1803",
					"type": "APR-DRG"
				}
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						},
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						},
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						{
							"payer_name": "Avanti Hospitals, LLC",
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						},
						{
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						},
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						},
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						},
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						},
						{
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						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "OTHER CIRCULATORY SYSTEM PROCEDURES ",
			"code_information": [
				{
					"code": "1804",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"payers_information": [
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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						},
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						},
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						},
						{
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						},
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							"methodology": "case rate"
						},
						{
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						},
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
		},
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			"description": "RESPIRATORY NEOPLASMS WITH CC",
			"code_information": [
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					"code": "181",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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						},
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						{
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						},
						{
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
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						},
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						},
						{
							"payer_name": "Astiva Health Inc",
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						{
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						},
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						},
						{
							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "Imperial Health Plan Of CA",
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						},
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						},
						{
							"payer_name": "UHC",
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
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						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
							"payer_name": "Scan Health Plan",
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						},
						{
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						},
						{
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						},
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						},
						{
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						{
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						}
					]
				}
			]
		},
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			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
				{
					"code": "1811",
					"type": "APR-DRG"
				}
			],
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						},
						{
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							"methodology": "case rate"
						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
				{
					"code": "1812",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
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		{
			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
				{
					"code": "1813",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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						},
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							"methodology": "case rate"
						},
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						},
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						},
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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						}
					]
				}
			]
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		{
			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
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					"code": "1814",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"payers_information": [
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "RESPIRATORY NEOPLASMS WITHOUT CCMCC",
			"code_information": [
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					"code": "182",
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				}
			],
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						},
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						},
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						},
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "case rate"
						},
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						},
						{
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						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
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						{
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
			"code_information": [
				{
					"code": "1821",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 15910.3,
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					"payers_information": [
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 17501.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
			"code_information": [
				{
					"code": "1822",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 17559.8,
					"maximum": 22827.7,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17559.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
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					"code": "1823",
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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						}
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			]
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			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
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				{
					"code": "1824",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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							"methodology": "case rate"
						},
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						}
					]
				}
			]
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					"code": "183",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 23064,
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						},
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"methodology": "case rate"
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							"methodology": "case rate"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"methodology": "case rate"
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						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
			"code_information": [
				{
					"code": "1831",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 44215.1,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 34011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 37412.7,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 34011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 34011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 34011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
			"code_information": [
				{
					"code": "1832",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 45176.6,
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						{
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						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
			"code_information": [
				{
					"code": "1833",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 40327.3,
					"maximum": 52425.4,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
			"code_information": [
				{
					"code": "1834",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 60375.3,
					"maximum": 78487.9,
					"payers_information": [
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST TRAUMA WITH CC",
			"code_information": [
				{
					"code": "184",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 15784,
					"minimum": 9738.05,
					"maximum": 20537.9,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Scan Health Plan",
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							"methodology": "case rate"
						},
						{
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 9408,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15784.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST TRAUMA WITHOUT CCMCC",
			"code_information": [
				{
					"code": "185",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 11713,
					"minimum": 8370.9,
					"maximum": 14954,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 9010.13,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 9010.13,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 9010.13,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 9010.13,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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						},
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						},
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							"methodology": "case rate"
						},
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						},
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						},
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						},
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						},
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						}
					]
				}
			]
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		{
			"description": "PLEURAL EFFUSION WITH MCC",
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				{
					"code": "186",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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						},
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
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						},
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						},
						{
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						},
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						},
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							"payer_name": "Astiva Health Inc",
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						},
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						},
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						},
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						},
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						},
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						},
						{
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						},
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						},
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						},
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						},
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						},
						{
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						},
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						},
						{
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						},
						{
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						},
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						},
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						},
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						},
						{
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						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
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						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "PLEURAL EFFUSION WITH CC",
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				{
					"code": "187",
					"type": "MS-DRG"
				}
			],
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 19305.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 11450.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 11450.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 11450.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 14886.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PLEURAL EFFUSION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "188",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
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					"code": "190",
					"type": "MS-DRG"
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			],
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						{
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						},
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						{
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							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 12965,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 12734.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 12734.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 12734.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 15281.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 12734.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 12734.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC I&D BREAST LESION",
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				{
					"code": "19000",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 3050.05,
					"discounted_cash": 1142,
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					"maximum": 2440.04,
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							"payer_name": "Worker Comp",
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
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							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 50.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 1921.84,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "UHC",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 65.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 1054.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 896.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 50.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 52.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 50.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 50.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC I&D BREAST LESION ADD ON",
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				{
					"code": "19001",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"minimum": 29.91,
					"maximum": 784.2,
					"payers_information": [
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 29.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 32.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 29.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 29.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 31.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 29.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 29.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 29.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 38.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 29.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 32.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 294.07,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 784.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 29.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 32.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 29.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 490.13,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION ",
			"code_information": [
				{
					"code": "1901",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6795.11,
					"maximum": 8833.64,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6795.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 7474.62,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 6795.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 6795.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6795.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 6897.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 7134.87,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6795.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 6795.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7474.62,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6795.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 6795.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 6795.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 8833.64,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION ",
			"code_information": [
				{
					"code": "1902",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 7349.61,
					"maximum": 9554.49,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 7098,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8084.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 7717.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 8084.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9554.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC MASTOTOMY W EXPLORDRAIN ABSC, DEEP",
			"code_information": [
				{
					"code": "19020",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 7723.75,
					"discounted_cash": 2633,
					"minimum": 249.93,
					"maximum": 6179,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 249.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 249.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 324.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 4248.06,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 249.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 249.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 249.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 274.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 6179,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 4866.73,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 249.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 262.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 6179,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 249.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 4369.33,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 274.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 274.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 3861.88,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION ",
			"code_information": [
				{
					"code": "1903",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9569.6,
					"maximum": 12440.5,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 9713.14,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 12440.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 10526.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 9569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 9569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 9569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10526.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 10048.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 9569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION ",
			"code_information": [
				{
					"code": "1904",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 15011.5,
					"maximum": 19515,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 16512.7,
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 15236.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 15011.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC BX BREAST W DEVICE STEREOTACT GUIDE 1ST LESION",
			"code_information": [
				{
					"code": "19081",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6863,
					"discounted_cash": 2633,
					"minimum": 632.17,
					"maximum": 5490.4,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 906.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 663.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 821.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 695.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 695.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2058.9,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Bx breast add lesion strtctc",
			"code_information": [
				{
					"code": "19082",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4214.5,
					"minimum": 526.8,
					"maximum": 3371.6,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 684.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 2317.97,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 3371.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 579.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 579.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 553.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 2107.25,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1264.35,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 2384.14,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 2655.56,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 755.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 579.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 3371.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3371.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC BX BREAST W DEVICE US GUIDE 1ST LESION",
			"code_information": [
				{
					"code": "19083",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6863,
					"discounted_cash": 2633,
					"minimum": 613.92,
					"maximum": 5490.4,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 798.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 3431.5,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 675.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 880.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 3774.65,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 675.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 675.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 644.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 3882.4,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2058.9,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 4324.38,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Bx breast add lesion us imag",
			"code_information": [
				{
					"code": "19084",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3222.75,
					"minimum": 506.7,
					"maximum": 2578.2,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 506.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 506.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 726.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 1823.11,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 506.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 532.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 557.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 506.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 1611.38,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2578.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 658.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 557.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 557.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 506.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 966.83,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 2030.65,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 1772.51,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 2578.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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					"code": "191",
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			]
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			"description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE",
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			]
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					]
				}
			]
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					"code": "19120",
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						},
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Traditional Medicare",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "Molina",
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Keenan",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "WellCare",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "Excision breast lesion",
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				{
					"code": "19125",
					"type": "CPT"
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					"setting": "outpatient",
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					"maximum": 22733.2,
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Scan Health Plan",
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Brand New Day",
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						{
							"payer_name": "Heritage Provider Network",
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Molina",
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						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE",
			"code_information": [
				{
					"code": "1913",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 15837.8,
					"payers_information": [
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
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						{
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				}
			]
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					"code": "192",
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				}
			],
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					]
				}
			]
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				}
			]
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						},
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						},
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						},
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						},
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						},
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			"description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ",
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				{
					"code": "1923",
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			"description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ",
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				{
					"code": "1924",
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					]
				}
			]
		},
		{
			"description": "HC PERQ DEV PLACE BREAST LOC 1ST LES W MAMMO GUID",
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				{
					"code": "19281",
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			],
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					"setting": "outpatient",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Molina",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Keenan",
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
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						},
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 237.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Perq device breast ea imag",
			"code_information": [
				{
					"code": "19282",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2435.49,
					"minimum": 151.53,
					"maximum": 1948.39,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 217.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 166.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 196.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1217.74,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 151.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ BREAST LOC DEV PLACE STROTACT GUID 1ST LES",
			"code_information": [
				{
					"code": "19283",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5490.09,
					"discounted_cash": 1142,
					"minimum": 244.6,
					"maximum": 4392.07,
					"payers_information": [
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 256.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 896.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 269.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 317.98,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 1054.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 3459.31,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 269.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 269.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD CULTURE;AEROBIC",
			"code_information": [
				{
					"code": "19285",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3050.05,
					"discounted_cash": 1142,
					"minimum": 476.17,
					"maximum": 2440.04,
					"payers_information": [
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							"payer_name": "WellCare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 523.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 1921.84,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 499.98,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2440.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 523.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 1525.03,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 683.02,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 2440.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 619.02,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 896.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 1054.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ BREAST LOC DEV PLACE US GUIDE ADDL LESION",
			"code_information": [
				{
					"code": "19286",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2295,
					"minimum": 418.09,
					"maximum": 1836,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 599.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 1262.25,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 438.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 688.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 459.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 543.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1836,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 459.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1147.5,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1836,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 459.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 1298.28,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "SIMPLE PNEUMONIA AND PLEURISY WITH MCC",
			"code_information": [
				{
					"code": "193",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 19284,
					"minimum": 12909.1,
					"maximum": 25337.3,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 23014,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 24105.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 17801.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 15078,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 12909.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 15253.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 14982.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 15445,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 20026.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 15131,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 14834.3,
							"estimated_amount": 13802,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Molina",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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			"description": "Partial mastectomy",
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				{
					"code": "19301",
					"type": "CPT"
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					"setting": "outpatient",
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							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Brand New Day",
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Health Net Of CA",
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						{
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Health Net Of CA",
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					]
				}
			]
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		{
			"description": "P-mastectomy wln removal",
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				{
					"code": "19302",
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					"setting": "outpatient",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
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						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
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						{
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							"estimated_amount": 999999999,
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						{
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							"methodology": "fee schedule"
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						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 993.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 761.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 692.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 692.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "Mast simple complete",
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				{
					"code": "19303",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 39128,
					"discounted_cash": 10591,
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					"maximum": 31302.4,
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 762.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8310.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10592,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 991.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 762.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 839.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 762.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 762.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 762.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 762.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 12453,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8229.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 801.02,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 1094.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 839.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 839.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 31302.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Mast mod rad",
			"code_information": [
				{
					"code": "19307",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 37374,
					"discounted_cash": 10591,
					"minimum": 919.31,
					"maximum": 29899.2,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 1011.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 1011.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"methodology": "percent of total billed charges"
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Heritage Provider Network",
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						{
							"payer_name": "LA Care Health Plan",
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							"payer_name": "Alignment",
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS ",
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				{
					"code": "1931",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 8802.42,
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						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Breast reduction",
			"code_information": [
				{
					"code": "19318",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 40904,
					"discounted_cash": 10591,
					"minimum": 1425.85,
					"maximum": 32723.2,
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							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
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							"payer_name": "UHC",
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							"methodology": "fee schedule"
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							"payer_name": "Altamed",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 10592,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 1425.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 32723.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 9777.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 1497.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Aetna",
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"methodology": "percent of total billed charges"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 1853.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS ",
			"code_information": [
				{
					"code": "1932",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 9373.43,
					"maximum": 12185.5,
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Rmvl intact breast implant",
			"code_information": [
				{
					"code": "19328",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 23342,
					"discounted_cash": 6191,
					"minimum": 463,
					"maximum": 18673.6,
					"payers_information": [
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 5715.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 18673.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 6203.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 7143.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 509.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 7002.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 601.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4810.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 486.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 463,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 509.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 7143.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 6191.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
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			"description": "ACUTE & SUBACUTE ENDOCARDITIS ",
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				{
					"code": "1933",
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				{
					"setting": "inpatient",
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					"maximum": 16280.2,
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							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Molina",
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							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
		},
		{
			"description": "Rmvl ruptured breast implant",
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				{
					"code": "19330",
					"type": "CPT"
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			],
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				{
					"setting": "outpatient",
					"gross_charge": 21588,
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					"maximum": 17270.4,
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"payer_name": "Molina",
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 644.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 7143.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 6203.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 675.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 614.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 614.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 614.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 6191.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 4810.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 675.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS ",
			"code_information": [
				{
					"code": "1934",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19194.3,
					"maximum": 24952.5,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21113.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 19194.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19194.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 19194.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 19194.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 24952.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 19194.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19194.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 19194.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 21113.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 19194.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 19482.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 19194.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Peri-implt capslc brst compl",
			"code_information": [
				{
					"code": "19371",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 21588,
					"discounted_cash": 6191,
					"minimum": 605.06,
					"maximum": 17270.4,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 6191.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 17270.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 11207,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 7143.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 786.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 12453,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 6476.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 6017.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 17270.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 665.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 17270.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 11873.4,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 7143.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 4857.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 665.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 6203.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 635.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4810.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 5715.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 665.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "SIMPLE PNEUMONIA AND PLEURISY WITH CC",
			"code_information": [
				{
					"code": "194",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12306,
					"minimum": 8905.02,
					"maximum": 15767.3,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 11359.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8905.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12306.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 14263.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9561.01,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 12779.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15767.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 15548.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 15382.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9655.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 9491.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 13993.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9466.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HEART FAILURE ",
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					"code": "1941",
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					"code": "1942",
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					]
				}
			]
		},
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			"description": "SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC",
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				{
					"code": "195",
					"type": "MS-DRG"
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			],
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						},
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						},
						{
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						},
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						},
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						},
						{
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						},
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						},
						{
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						},
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						},
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					"code": "199",
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					]
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			]
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							"payer_name": "Health Net Of CA",
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						},
						{
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						},
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						},
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						},
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						},
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						},
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						},
						{
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						},
						{
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						}
					]
				}
			]
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			"description": "PNEUMOTHORAX WITH CC",
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					"code": "200",
					"type": "TRIS-DRG"
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					"maximum": 21295.5,
					"payers_information": [
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						},
						{
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						},
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
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						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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						},
						{
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						},
						{
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						{
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						},
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						},
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						},
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						},
						{
							"payer_name": "LA Care Health Plan",
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						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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						},
						{
							"payer_name": "UHC",
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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						},
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						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						},
						{
							"payer_name": "Molina",
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						{
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						{
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						{
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						{
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						{
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					]
				}
			]
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			"description": "CARDIAC STRUCTURAL & VALVULAR DISORDERS ",
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					"code": "2001",
					"type": "APR-DRG"
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							"methodology": "case rate"
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						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
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						},
						{
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						},
						{
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						},
						{
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						},
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						}
					]
				}
			]
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			"description": "CARDIAC STRUCTURAL & VALVULAR DISORDERS ",
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					"code": "2002",
					"type": "APR-DRG"
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						},
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						},
						{
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						},
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC STRUCTURAL & VALVULAR DISORDERS ",
			"code_information": [
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					"code": "2003",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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					"code": "2004",
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							"payer_name": "Health Net Of CA",
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						}
					]
				}
			]
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			"description": "PNEUMOTHORAX WITHOUT CCMCC",
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					"code": "201",
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			],
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					"setting": "inpatient",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Avanti Hospitals, LLC",
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					]
				}
			]
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			"description": "Explore wound extremity",
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					"code": "20103",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"methodology": "fee schedule"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 339.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "WellCare",
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							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
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					"code": "2011",
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				{
					"setting": "inpatient",
					"minimum": 3861.47,
					"maximum": 5019.91,
					"payers_information": [
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							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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				}
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			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
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					"code": "2012",
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					"setting": "inpatient",
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					"maximum": 6485.04,
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							"payer_name": "Heritage Provider Network",
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							"methodology": "case rate"
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
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			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
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					"code": "2013",
					"type": "APR-DRG"
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					"setting": "inpatient",
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					"maximum": 9871.98,
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							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 8353.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 7593.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 7593.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 8353.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
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			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
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					"code": "2014",
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				{
					"setting": "inpatient",
					"minimum": 13838.4,
					"maximum": 17990,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 15222.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 13838.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 13838.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 14530.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 14046,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 13838.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 17990,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "BRONCHITIS AND ASTHMA WITH CCMCC",
			"code_information": [
				{
					"code": "202",
					"type": "MS-DRG"
				}
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			"standard_charges": [
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					"setting": "inpatient",
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					"minimum": 8745.13,
					"maximum": 18588.2,
					"payers_information": [
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 11048.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 11048.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 14363.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 18330.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 16610.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Scan Health Plan",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
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						},
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
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							"payer_name": "WellCare",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Brand New Day",
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							"payer_name": "Brand New Day",
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							"payer_name": "Tricare",
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
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							"payer_name": "Traditional Medicare",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Molina",
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						},
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Aetna",
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							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 18588.2,
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						}
					]
				}
			]
		},
		{
			"description": "HC DEEP MUSCLE BIOPSY",
			"code_information": [
				{
					"code": "20205",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 9275.56,
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Keenan",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Tricare",
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							"payer_name": "Scan Health Plan",
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Aetna",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 156.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 6558.98,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 156.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 156.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Biopsy muscle perq needle",
			"code_information": [
				{
					"code": "20206",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 7035,
					"discounted_cash": 2633,
					"minimum": 94.53,
					"maximum": 5628,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 94.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5628,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Worker Comp",
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Brand New Day",
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							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Altamed",
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							"payer_name": "Blue Shield of CA",
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			]
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		{
			"description": "Bone biopsy trocarndl supfc",
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				{
					"code": "20220",
					"type": "CPT"
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					"setting": "outpatient",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Non-Contracted Medicare",
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							"payer_name": "Alignment",
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						{
							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Astiva Health Inc",
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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						{
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							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 158.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 4064.53,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 4527.24,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 122.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 122.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC BONE BIOPSY,TROCARNEEDLE DEEP",
			"code_information": [
				{
					"code": "20225",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 6863,
					"discounted_cash": 2633,
					"minimum": 213.61,
					"maximum": 5490.4,
					"payers_information": [
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 234.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 234.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 234.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 3774.65,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 224.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 277.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 4324.38,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 3431.5,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 5490.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHITIS AND ASTHMA WITHOUT CCMCC",
			"code_information": [
				{
					"code": "203",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10576,
					"minimum": 5022.54,
					"maximum": 13394.5,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8298.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10576,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13394.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 8059.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 13203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 9762.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 5022.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8135.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 10982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12055.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8216.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 11882.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Altamed",
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						{
							"payer_name": "Blue Shield Of Promise",
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					"code": "2041",
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						}
					]
				}
			]
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			"description": "SYNCOPE & COLLAPSE ",
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					"code": "2042",
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				}
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						}
					]
				}
			]
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					"code": "2044",
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				}
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							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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						{
							"payer_name": "Health Net Of CA",
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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						},
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						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC",
			"code_information": [
				{
					"code": "205",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 27278,
					"minimum": 18593.3,
					"maximum": 36299.5,
					"payers_information": [
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						},
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							"payer_name": "Imperial Health Plan Of CA",
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						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 20751,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"methodology": "case rate"
						},
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							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 35794.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 32213.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 21850.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 36299.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 25179.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 28327.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 21692,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 21192.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 31405.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 20765,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 20983.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC INJECT SINUS TRACT FOR DX W XRAY",
			"code_information": [
				{
					"code": "20501",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 772,
					"minimum": 231.6,
					"maximum": 617.6,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 386,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 617.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 320.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 320.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 617.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 486.44,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 352.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 320.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 320.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 416.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 424.6,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 320.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 336.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 320.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 320.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 320.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 617.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 352.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 320.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 436.72,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 352.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2051",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 4196.77,
					"maximum": 5455.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 4406.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 4616.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 4259.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5455.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4616.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2052",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5254.73,
					"maximum": 6831.15,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5517.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5780.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 5780.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6831.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 5333.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2053",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7810.02,
					"maximum": 10153,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 7927.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 8200.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8591.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10153,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 8591.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2054",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16565.9,
					"maximum": 21535.7,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 16814.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17394.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 21535.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18222.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 18222.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC INJECT TENDON SHEATHLIGAMENT",
			"code_information": [
				{
					"code": "20550",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1308.85,
					"discounted_cash": 481,
					"minimum": 65.68,
					"maximum": 1047.08,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 72.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 719.87,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 85.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 824.71,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 72.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 72.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 68.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 740.42,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 654.42,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 377.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC INJECT TENDON ORIGININSERT",
			"code_information": [
				{
					"code": "20551",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1411,
					"discounted_cash": 481,
					"minimum": 52.49,
					"maximum": 1128.8,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 55.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 57.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 57.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 705.5,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 423.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 776.05,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1128.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1128.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 68.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 57.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 377.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 75.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1128.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 889.07,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 798.2,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "INJ TRIGGER POINT 12 MUSCL",
			"code_information": [
				{
					"code": "20552",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1308.85,
					"discounted_cash": 481,
					"minimum": 52.49,
					"maximum": 1047.08,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 57.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 57.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 57.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 392.65,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 55.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 75.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 68.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 824.71,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 740.42,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 719.87,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 654.42,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 377.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC",
			"code_information": [
				{
					"code": "206",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13509,
					"minimum": 6347.98,
					"maximum": 17417.1,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 10391.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10391.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10391.7,
							"estimated_amount": 9551,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 10391.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 10391.7,
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"methodology": "case rate"
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							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 10419,
							"methodology": "case rate"
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"methodology": "case rate"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 12470.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13509.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DRAININJECT SMALL JOINTBURSA",
			"code_information": [
				{
					"code": "20600",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 1047.08,
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 654.42,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 392.65,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 51.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 51.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DRAININJECT INTERMEDIATE JOINTBURSA",
			"code_information": [
				{
					"code": "20605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1308.85,
					"discounted_cash": 481,
					"minimum": 54.46,
					"maximum": 1047.08,
					"payers_information": [
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							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 392.65,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 59.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 719.87,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 377.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 824.71,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 57.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 70.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 59.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 59.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 740.42,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 654.42,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DRAININJ JOINTBURSA WUS",
			"code_information": [
				{
					"code": "20606",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3242.6,
					"discounted_cash": 1123,
					"minimum": 45.05,
					"maximum": 2594.08,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 49.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1125.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2594.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 872.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 2594.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 47.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 881.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 2594.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 1783.43,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1123.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1091.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 49.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 1296.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 2043.16,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 972.78,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1296.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 1621.3,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 64.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 49.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2061",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 7133.01,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 7133.01,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6035.62,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 5569.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC ASPDRAIN LARGE JOINTBURSA",
			"code_information": [
				{
					"code": "20610",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1308.85,
					"discounted_cash": 481,
					"minimum": 65.68,
					"maximum": 1047.08,
					"payers_information": [
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1047.08,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 654.42,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 72.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 320,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 85.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DRAININJ JOINTBURSA WUS",
			"code_information": [
				{
					"code": "20611",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1305.85,
					"discounted_cash": 481,
					"minimum": 52.87,
					"maximum": 1044.68,
					"payers_information": [
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 652.92,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 822.82,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 68.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 738.72,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 58.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 1044.68,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 1044.68,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 718.22,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 58.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1044.68,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 391.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 377.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 55.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2062",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5624.06,
					"maximum": 7311.28,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5624.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 5624.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6186.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5624.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 7311.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5624.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 6186.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 5624.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5905.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 5708.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 5624.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 5624.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 5624.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2063",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 8369.53,
					"maximum": 10880.4,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 8788.01,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9206.48,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 8495.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 9206.48,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10880.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2064",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 16536.9,
					"maximum": 21497.9,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 21497.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 18190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17363.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 16784.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REMOVAL IMPLANT DEEP",
			"code_information": [
				{
					"code": "20680",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 12107.8,
					"discounted_cash": 4615,
					"minimum": 217.89,
					"maximum": 19675.9,
					"payers_information": [
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 7378.46,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 13527.2,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 239.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 9686.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 6849.35,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 6659.26,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 7629.09,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 283.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 11207,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 3621.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 9686.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 228.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 19675.9,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 12453,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 228.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 19675.9,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 3621.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 19675.9,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 239.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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						},
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
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						},
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							"payer_name": "Health Net Of CA",
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						},
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
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						},
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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					]
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			]
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			"description": "RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS",
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				{
					"code": "207",
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				}
			],
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					"setting": "inpatient",
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						},
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						},
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						},
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Brand New Day",
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						{
							"payer_name": "LA Care Health Plan",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Coventry Healthcare WC, INC.",
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					]
				}
			]
		},
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			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2071",
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				}
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						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
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							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
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						{
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						},
						{
							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2072",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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						{
							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Traditional Medi-Cal",
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 6334,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 5758.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5758.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2073",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 10595.4,
					"payers_information": [
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							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 8965.36,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 8557.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8965.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2074",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14539.1,
					"maximum": 18900.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 15266,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 14757.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 15993,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15993,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 18900.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS",
			"code_information": [
				{
					"code": "208",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 38438,
					"minimum": 25408.1,
					"maximum": 51605.3,
					"payers_information": [
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 134264,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 39917.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 30462,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 38438.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 51605.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 35482,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 29864,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 46905.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 30159.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 28962,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 50895.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 48048.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 31068.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 45804.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 25408.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 29568.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "209",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5461.65,
					"maximum": 5461.65,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 5461.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "210",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7988.56,
					"maximum": 7988.56,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7988.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXCISE MANDIBLE LESION",
			"code_information": [
				{
					"code": "21040",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14942,
					"discounted_cash": 5229,
					"minimum": 267.01,
					"maximum": 11953.6,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5082.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
							"standard_charge_dollar": 8218.1,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 267.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 4827.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 293.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 267.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 293.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 267.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 267.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 4482.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 293.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 267.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5229.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 347.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5239.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 267.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 9414.95,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 267.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 6034.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 6034.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 267.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 4103.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 8452.69,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 267.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 280.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4062.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "211",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9155.27,
					"maximum": 9155.27,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9155.27,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES",
			"code_information": [
				{
					"code": "212",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 153553,
					"minimum": 10632.5,
					"maximum": 209473,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 159460,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 120481,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10632.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 119300,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 186851,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 206555,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 209473,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 141742,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 191942,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 153554,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 185891,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 118118,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 126088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "213",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20236.1,
					"maximum": 20236.1,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 20236.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT NOSE FX W STABIL",
			"code_information": [
				{
					"code": "21320",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14225.2,
					"discounted_cash": 5229,
					"minimum": 181.57,
					"maximum": 11380.1,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 8963.27,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 8047.17,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 199.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 4827.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 199.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 4267.55,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4062.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 6034.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 199.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "UnGrouped",
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				{
					"code": "214",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 6173.03,
					"maximum": 6173.03,
					"payers_information": [
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
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			"description": "HC CLSD TREAT DENTAL RIDGE FX",
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				{
					"code": "21440",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 13096.5,
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					"maximum": 10477.2,
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 5239.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 6034.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 200.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 10477.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 4103.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 247.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 7203.05,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "TREAT LOWER JAW FRACTURE",
			"code_information": [
				{
					"code": "21451",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 6763.95,
					"discounted_cash": 2477,
					"minimum": 543.64,
					"maximum": 5411.16,
					"payers_information": [
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 543.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5411.16,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 598,
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							"payer_name": "Worker Comp",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Alignment",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Molina",
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Altamed",
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						{
							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "WellCare",
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							"payer_name": "Non-Contracted Medicare",
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT TEMPOROMANDIBL DISLOC",
			"code_information": [
				{
					"code": "21480",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"payers_information": [
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
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						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medicare",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 111.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 111.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 828.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "Blue Shield of CA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "LA Care Health Plan",
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							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Heritage Provider Network",
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Worker Comp",
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					]
				}
			]
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			"description": "OTHER HEART ASSIST SYSTEM IMPLANT",
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				{
					"code": "215",
					"type": "MS-DRG"
				}
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					"setting": "inpatient",
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "case rate"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Brand New Day",
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "case rate"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 177207,
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							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Aetna",
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Molina",
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
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							"payer_name": "UHC",
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							"payer_name": "UHC",
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							"payer_name": "Non-Contracted Medicare",
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							"payer_name": "Molina",
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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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						{
							"payer_name": "Altamed",
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY OF NECKCHEST",
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				{
					"code": "21550",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 7184.95,
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					"maximum": 5747.96,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Scan Health Plan",
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							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "percent of total billed charges"
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Worker Comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Heritage Provider Network",
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						{
							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
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							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 4527.24,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"payer_name": "Molina",
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "WellCare",
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					]
				}
			]
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		{
			"description": "EXC NECK TUM DEEP 5 CM>",
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				{
					"code": "21554",
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				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 11953.6,
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							"payer_name": "UHC",
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							"payer_name": "Altamed",
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 9414.95,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 665.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 868.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 3621.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 605.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 605.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 635.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 786.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 665.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 605.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 605.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 4482.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 665.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 605.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 605.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 605.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EXC NECK LES SC < 3 CM",
			"code_information": [
				{
					"code": "21555",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 34888,
					"discounted_cash": 2633,
					"minimum": 364.07,
					"maximum": 27910.4,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 522.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 617.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 474.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 474.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 522.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 19188.4,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 27910.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 474.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EXC NECK TUM DEEP < 5 CM",
			"code_information": [
				{
					"code": "21556",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 17380.3,
					"discounted_cash": 4615,
					"minimum": 457.02,
					"maximum": 13904.3,
					"payers_information": [
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							"payer_name": "Scan Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 601.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 572.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 572.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 9832.05,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 3621.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 572.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 10951.4,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 9559.18,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 629.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 13904.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 13904.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 572.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "RESECT NECK TUM 5 CM>",
			"code_information": [
				{
					"code": "21558",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14942,
					"discounted_cash": 4615,
					"minimum": 1132.16,
					"maximum": 11953.6,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 1132.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
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							"payer_name": "Tricare",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
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							"methodology": "percent of total billed charges"
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							"payer_name": "Molina",
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							"payer_name": "UHC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Heritage Provider Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
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							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC",
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				{
					"code": "216",
					"type": "MS-DRG"
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			],
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				{
					"setting": "inpatient",
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					"minimum": 104714,
					"maximum": 185576,
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 141364,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 170161,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 168368,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 182991,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 136128,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 105761,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 116262,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 185576,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 125657,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 111703,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 104714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC",
			"code_information": [
				{
					"code": "217",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 91356,
					"minimum": 70273.9,
					"maximum": 124176,
					"payers_information": [
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							"payer_name": "UHC",
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							"standard_charge_dollar": 110196,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 70273.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 70273.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 70273.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 70273.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 124176,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						},
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						}
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		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC",
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				{
					"code": "218",
					"type": "MS-DRG"
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						{
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						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC",
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				{
					"code": "219",
					"type": "MS-DRG"
				}
			],
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					"maximum": 148780,
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							"methodology": "case rate"
						},
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						{
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 84075,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 89555.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 109298,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXC BACK LES SC 3 CM>",
			"code_information": [
				{
					"code": "21931",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 15185.8,
					"discounted_cash": 2633,
					"minimum": 386.08,
					"maximum": 12148.7,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 386.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 501.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 405.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 553.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 386.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 386.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 12148.7,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 12148.7,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 386.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 9568.59,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 424.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 8352.21,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 386.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 2066.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EXC BACK TUM DEEP 5 CM>",
			"code_information": [
				{
					"code": "21933",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 20923.5,
					"discounted_cash": 4615,
					"minimum": 609.08,
					"maximum": 16738.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 669.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 609.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 609.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 3621.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 16738.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 791.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 609.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 669.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 6277.05,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 609.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 609.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 873.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 11207,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 16738.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $5500",
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						},
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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						},
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Blue Shield Of Promise",
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						},
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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						},
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							"payer_name": "Avanti Hospitals, LLC",
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						},
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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					]
				}
			]
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		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC",
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				{
					"code": "220",
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			],
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					"setting": "inpatient",
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					"maximum": 101847,
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						},
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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						},
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Avanti Hospitals, LLC",
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						{
							"payer_name": "UHC",
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						{
							"payer_name": "Renal Payer Solutions",
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						{
							"payer_name": "Astiva Health Inc",
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
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						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Altamed",
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						},
						{
							"payer_name": "LA Care Health Plan",
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							"payer_name": "Blue Shield of CA",
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						{
							"payer_name": "Non-Contracted Medicare",
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							"payer_name": "WellCare",
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							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2201",
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				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 16146.2,
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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						},
						{
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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						}
					]
				}
			]
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			"description": "MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
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						{
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						{
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						},
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						},
						{
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							"methodology": "case rate"
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						{
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
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					"code": "2203",
					"type": "APR-DRG"
				}
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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					"code": "2204",
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				}
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			]
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			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC",
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					"code": "221",
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			]
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					"code": "2221",
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						},
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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						},
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						}
					]
				}
			]
		},
		{
			"description": "OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2223",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16434.8,
					"maximum": 21365.2,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18078.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 18078.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 21365.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 16681.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17256.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2224",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 32280,
					"maximum": 41964,
					"payers_information": [
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 32764.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 33894,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 41964,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 35508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 35508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER SMALL & LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2231",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10379.3,
					"maximum": 13493.1,
					"payers_information": [
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 10535,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13493.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11417.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 11417.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 10898.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER SMALL & LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2232",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12889.6,
					"maximum": 16756.5,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 16756.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 12889.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 12889.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 13534.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 12889.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14178.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 12889.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 12889.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 12889.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 14178.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 13082.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER SMALL & LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2233",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17536.8,
					"maximum": 22797.8,
					"payers_information": [
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 22797.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 17536.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 18413.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 17536.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 17536.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 17799.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 19290.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 17536.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 17536.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17536.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 17536.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 17536.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19290.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17536.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER SMALL & LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2234",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 31871.7,
					"maximum": 41433.2,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 32349.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 35058.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 35058.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 41433.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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			"description": "PERITONEAL ADHESIOLYSIS ",
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					"code": "2241",
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						},
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						},
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						}
					]
				}
			]
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			"description": "PERITONEAL ADHESIOLYSIS ",
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					"code": "2242",
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				}
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						},
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						},
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						},
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						},
						{
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						},
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						},
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						}
					]
				}
			]
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			"description": "PERITONEAL ADHESIOLYSIS ",
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						},
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						},
						{
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						},
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						},
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						},
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				}
			]
		},
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			"description": "PERITONEAL ADHESIOLYSIS ",
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						{
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					]
				}
			]
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		{
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						},
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						}
					]
				}
			]
		},
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						},
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						},
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						},
						{
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						},
						{
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						},
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						},
						{
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				{
					"code": "228",
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						{
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						},
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						},
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					]
				}
			]
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			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
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					"code": "2281",
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				}
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						},
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						}
					]
				}
			]
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			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
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					"type": "APR-DRG"
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						},
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						},
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						},
						{
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						},
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						},
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						{
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			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
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						},
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						},
						{
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						},
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						},
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						},
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						}
					]
				}
			]
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			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
			"code_information": [
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					"type": "APR-DRG"
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 26941,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 28223.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 33355.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 28223.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 26042.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC",
			"code_information": [
				{
					"code": "229",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 44362,
					"minimum": 34125.2,
					"maximum": 59729.4,
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 49441,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 53005.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 55453.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 40950.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial ",
							"standard_charge_dollar": 35953.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 59729.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 46069.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 58897.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 44362.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 34807.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 55160,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 34125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXC ABDL TUM DEEP < 5 CM",
			"code_information": [
				{
					"code": "22900",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14942,
					"discounted_cash": 4615,
					"minimum": 520.47,
					"maximum": 11953.6,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 637.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 5500,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 9414.95,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 3621.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 579.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 579.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 608.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 579.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 753.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 579.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Scan Health Plan",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 637.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 579.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 579.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 579.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
							"standard_charge_dollar": 11953.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 520.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Commercial ",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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			"description": "EXC ABD LES SC 3 CM>",
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				{
					"code": "22903",
					"type": "CPT"
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				{
					"setting": "outpatient",
					"gross_charge": 14942,
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
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							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Altamed",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Worker Comp",
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							"payer_name": "Anthem Blue Cross",
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							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Brand New Day",
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							"payer_name": "Tricare",
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							"payer_name": "UHC",
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							"standard_charge_algorithm": "Not To Exceed $11207",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "UHC",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
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							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Scan Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of CA",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"standard_charge_dollar": 362.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 398.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 362.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
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			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
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				{
					"code": "2291",
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				{
					"setting": "inpatient",
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					"maximum": 12780.1,
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 10813.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Heritage Provider Network",
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							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Anthem Blue Cross",
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							"standard_charge_dollar": 9978.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2292",
					"type": "APR-DRG"
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			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 13447.1,
					"maximum": 17481.2,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 13648.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 17481.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 14119.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 14791.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14791.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2293",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
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						},
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						},
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						},
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						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2294",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 34572.1,
					"maximum": 44943.7,
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2301",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 11487.3,
					"maximum": 14933.5,
					"payers_information": [
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
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					"code": "2302",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 20440.1,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2303",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 22853.5,
					"maximum": 29709.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
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					"code": "2304",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 40754.7,
					"maximum": 52981.1,
					"payers_information": [
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"payer_name": "Health Net Of CA",
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			"description": "EXC SHOULDER TUM DEEP 5 CM>",
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				{
					"code": "23073",
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				}
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					"setting": "outpatient",
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							"payer_name": "Blue Shield of CA",
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							"methodology": "percent of total billed charges"
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							"standard_charge_algorithm": "Not To Exceed $12453",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Coventry Healthcare WC, INC.",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Avanti Hospitals, LLC",
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							"payer_name": "Scan Health Plan",
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "LA Care Health Plan",
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						{
							"payer_name": "Traditional Medi-Cal",
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							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "Blue Shield Of Promise",
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					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS WITH PTCA WITH MCC",
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				{
					"code": "231",
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				}
			],
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					"setting": "inpatient",
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						{
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						{
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							"estimated_amount": 999999999,
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							"payer_name": "Kaiser Hospital Foundation",
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						{
							"payer_name": "Blue Shield Of Promise",
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						{
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						{
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						{
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						{
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						{
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						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
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						},
						{
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						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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						{
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							"plan_name": "Avanti Hospitals, LLC Medicare",
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						}
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				}
			]
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			"description": "MAJOR LARGE BOWEL PROCEDURES ",
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					"code": "2311",
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				}
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						},
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						},
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						},
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						},
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						}
					]
				}
			]
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			"description": "MAJOR LARGE BOWEL PROCEDURES ",
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					"code": "2312",
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				}
			],
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						},
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						},
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						},
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					]
				}
			]
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			"description": "MAJOR LARGE BOWEL PROCEDURES ",
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					"code": "2313",
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				}
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						},
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							"methodology": "case rate"
						},
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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						},
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						},
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						{
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						}
					]
				}
			]
		},
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			"description": "MAJOR LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2314",
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				}
			],
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					"setting": "inpatient",
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					"maximum": 47142.7,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS WITH PTCA WITHOUT MCC",
			"code_information": [
				{
					"code": "232",
					"type": "TRIS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 117461,
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						},
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						},
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						},
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						},
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						},
						{
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						},
						{
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						},
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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				}
			]
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				}
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						{
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						},
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							"methodology": "case rate"
						},
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						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 84926,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 85775.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 84926,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 84926,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 84926,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 101911,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 87253.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 84926,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 84926,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 84926,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2331",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9071.16,
					"maximum": 11792.5,
					"payers_information": [
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 11792.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 9978.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 9524.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 9207.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9978.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2332",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11595.4,
					"maximum": 15074.1,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 15074.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12755,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 12755,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 11769.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 12175.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ",
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					"code": "2333",
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					"setting": "inpatient",
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					"maximum": 21193.5,
					"payers_information": [
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							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16302.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 21193.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 16302.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 16547.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16302.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17117.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 16302.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 16302.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 17932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2334",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 25437.9,
					"maximum": 33069.2,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 27981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 25819.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 25437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 25437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 25437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 25437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 25437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 33069.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 27981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 26709.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 25437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 25437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INJECTION FOR SHOULDER X-RAY",
			"code_information": [
				{
					"code": "23350",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1050,
					"minimum": 247.25,
					"maximum": 840,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 271.98,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 593.99,
							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 247.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 840,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 247.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 247.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 315,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 247.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 259.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 271.98,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 247.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 247.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 321.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
							"standard_charge_dollar": 247.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 840,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 525,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payer ",
							"standard_charge_dollar": 661.61,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of CA",
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							"payer_name": "Kaiser Hospital Foundation",
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						},
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							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
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							"methodology": "fee schedule"
						},
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							"methodology": "fee schedule"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
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			"description": "CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC",
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				{
					"code": "234",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 102299,
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						},
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						},
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						},
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							"payer_name": "Health Net Of CA",
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						},
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						},
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							"payer_name": "AIDS Healthcare Foundation",
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						},
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							"payer_name": "WellCare",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 58003.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 58003.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 58003.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 58003.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
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							"payer_name": "Kaiser Hospital Foundation",
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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Astiva Health Inc",
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						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
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						{
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						{
							"payer_name": "UHC",
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						{
							"payer_name": "UHC",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2341",
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				}
			],
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							"methodology": "case rate"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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						},
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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						{
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
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					"code": "2342",
					"type": "APR-DRG"
				}
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							"plan_name": "Traditional Medi-cal",
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							"methodology": "case rate"
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						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 9266.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 9266.33,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
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					"code": "2343",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
					"minimum": 13510.2,
					"maximum": 17563.2,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue Cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 14861.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 14185.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14861.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2344",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 23286.9,
					"maximum": 30273,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 23286.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 25615.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 23286.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 23286.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 30273,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 25615.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC",
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				{
					"code": "235",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 83312,
					"minimum": 64086.3,
					"maximum": 113144,
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							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 104140,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "UHC",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 113144,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 64727.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 71606.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 68105,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 76903.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 65368,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Exchange",
							"standard_charge_dollar": 86516.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 83312.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 100407,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 111569,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 64086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT SCAPULA FX W MANIP",
			"code_information": [
				{
					"code": "23575",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 7112.55,
					"discounted_cash": 2610,
					"minimum": 232.83,
					"maximum": 5690.04,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 256.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 3012.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial - Non-Contracted ",
							"standard_charge_dollar": 5690.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 4481.62,
							"standard_charge_percentage": 63.01,
							"standard_charge_algorithm": "Not To Exceed $12453",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3012.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medi-Cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"standard_charge_dollar": 3911.9,
							"standard_charge_percentage": 55.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2048.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medi-Cal",
							"standard_charge_dollar": 256.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 244.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare Non Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medi-cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Heritage Provider Network",
							"plan_name": "Heritage Provider Network Medi-Cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial ",
							"standard_charge_dollar": 3556.28,
							"standard_charge_percentage": 50.0,
							"standard_charge_algorithm": "Not To Exceed $5500",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal",
							"standard_charge_dollar": 302.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Medi-Cal - IPA",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Scan Health Plan",
							"plan_name": "Scan Health Medicare - Non Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2133.76,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Cal Medi-Connect",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5690.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "LA Care Health Plan",
							"plan_name": "LA Care Health Plan Covered CA",
							"standard_charge_dollar": 2409.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
							"standard_charge_dollar": 256.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
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			"description": "CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC",
			"code_information": [
				{
					"code": "236",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 58465,
					"minimum": 44973.3,
					"maximum": 79069.4,
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							"payer_name": "UHC",
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							"standard_charge_dollar": 44973.3,
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 73081.6,
							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "UHC",
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							"standard_charge_dollar": 77967.9,
							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 45423,
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						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core ",
							"standard_charge_dollar": 70167.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare Applecare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
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						{
							"payer_name": "Scan Health Plan",
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						},
						{
							"payer_name": "Avanti Hospitals, LLC",
							"plan_name": "Avanti Hospitals, LLC Medicare",
							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield of CA",
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							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 45872.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 58465.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan CA Medicare",
							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 54925.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Cal Mediconnect",
							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Medi Connect",
							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Altamed",
							"plan_name": "Altamed Pace Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
							"plan_name": "Kaiser Hospital Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 60713.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker Comp",
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							"standard_charge_dollar": 79069.4,
							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 47594.1,
							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medicare",
							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 53967.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "LA Care Health Plan",
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							"standard_charge_dollar": 44973.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLTX PRX HMRL FX MNPJ+-TRACT",
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				{
					"code": "23605",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 6125.32,
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						{
							"payer_name": "Kaiser Hospital Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Healthcare WC, INC.",
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						},
						{
							"payer_name": "Imperial Health Plan Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						},
						{
							"payer_name": "Molina",
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						},
						{
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "UHC",
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							"standard_charge_percentage": 56.57,
							"standard_charge_algorithm": "Not To Exceed $11207",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Kaiser Hospital Foundation",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "Anthem Blue Cross",
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						},
						{
							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": "Blue Shield of CA",
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						{
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						},
						{
							"payer_name": "LA Care Health Plan",
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						},
						{
							"payer_name": "Blue Shield of CA",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal LA All Care Medical Group AppleCare Medical Group OmniCare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercia